Jong Moon Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040900 Issued in NY

Practice address

136 E 57TH St Ste 801
New York, NY 10022-2971

Phone

(212) 920-7653

NPI assigned

Jun 8, 2019

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Red Moon Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1962067033

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399
  Medicare reassignment NPD
• Premium Medical Care, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1730399163
  Medicare reassignment NPD
• Hkim Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1356854327
  NPD

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1225697741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222971",
            "telephone_number": "646-807-9492",
            "fax_number": "212-313-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222971",
            "telephone_number": "212-920-7653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18130 Dalny Rd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114322341",
            "country_code": "US",
            "telephone_number": "212-920-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2915 Broadway Apt 3R",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111062949",
            "country_code": "US",
            "telephone_number": "212-920-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Woodsorrel",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926044623",
            "country_code": "US",
            "telephone_number": "212-920-7653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONG MOON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300352",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kim
• John Junghan Kim, MD
• John Kyunghoon Kim, MD
• John Shinwon Kim, LAC
• Jonathan Kim, D.P.T.
• Jongbin Kim, DPT
• Jongho Kim, M.D.
• Joo Kim
• Joohee Julie Kim
• Joon Kim, PHARM.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.