NPIMap

Organization Active NPI

Jeong Ho Kim Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • New York, NY
National Provider Identifier
1174061907
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
033030 Issued in NY
Legal business name
JEONG HO KIM PHYSICAL THERAPY, P.C
Practice address
185 Canal St # 501
New York, NY 10013-4537
Phone
(646) 666-0322
Fax
(646) 666-0904
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeong Ho Kim, DPTNPI 1811355944
Title
Doctor of Physical Therapist
Phone
(929) 233-4979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 033030 NY Primary

Addresses

Primary practice location

185 Canal St # 501
New York, NY 10013-4537

Mailing address

185 Canal St # 501
New York, NY 10013-4537
Phone (646) 666-0322

National Provider Directory

National Provider Directory

Locations

185 Canal St
#501
New York, NY 10013
Phone (646) 666-0322

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1174061907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CANAL ST # 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134537",
            "telephone_number": "646-666-0322",
            "fax_number": "646-666-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CANAL ST # 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134537",
            "telephone_number": "646-666-0322",
            "fax_number": "646-666-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEONG HO KIM PHYSICAL THERAPY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONG HO",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "929-233-4979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "033030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.