Individual provider Active NPI

Chulho Kim

  • Physical Therapist
  • New York, NY
National Provider Identifier
1275959710
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034755 Issued in NY
Practice address
229 E 21St St Ste 1
New York, NY 10010-6433
Phone
(212) 473-3703
NPI assigned
Mar 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 034755 NY Primary

Addresses

Primary practice location

229 E 21St St Ste 1
New York, NY 10010-6433

Mailing address

14422 34TH Ave Apt D
Flushing, NY 11354-3125
Phone (347) 399-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034755NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soho Physical Therapy PC Current Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Feb 10, 2017 Accepting new patients
Oasis Professional Management Group LTD. Past Accepting new patients
Advanced Professional Marketing, Inc. Past Accepting new patients
Friends Chiropractic PC PastSince Sep 12, 2017 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1275959710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 34TH AVE APT D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543125",
            "telephone_number": "347-399-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E 21ST ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106433",
            "telephone_number": "212-473-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHULHO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034755",
            "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 Mar 7, 2014; 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.