Tae Hoon Kim, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029952 Issued in NY

Practice address

140 E 52ND St
New York, NY 10022-7906

Phone

(201) 870-5401

NPI assigned

Jun 21, 2012

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blissful Physical Therapy P.C

  • Physical Therapist
  • New York, NY
  • NPI 1316760127
  NPD Authorized official
• Sunshine Care Physical Therapy PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1689011629
  NPD Authorized official
• Sunshine Care Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1710320205
  Authorized official Same address or phone
• Evergreen Homecare Service of Ny Inc

  • Home Health Agency
  • Flushing, NY
  • NPI 1437714888
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275896474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 52ND ST",
            "address_2": "2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227906",
            "telephone_number": "201-870-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 52ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227906",
            "telephone_number": "201-870-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 149th Pl Unit Ca",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544916",
            "country_code": "US",
            "telephone_number": "201-870-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE",
        "middle_name": "HOON",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syngbum Kim, D.D.S
• Syngcuk Kim, D.D.S.,PHD
• Tabitha D Kim, NP
• Tae Kim
• Tae Ho Kim, MD
• Tae Hyung Kim
• Tae Woo Kim, DDS, MSD, PHD
• Tae Young Kim, DDS
• Taejin Kim, RPT
• Taemin Kim

• 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, 2018; 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.