Tae Young Kim, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021208-1 Issued in NY

Practice address

3409 Murray St
Flushing, NY 11354-3948

Phone

(718) 888-1933

Fax

(718) 886-8462

NPI assigned

Jul 18, 2006

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 and National Provider Directory roles.

• Rehab a to Z PT PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1245110725
  NPD
• Five Towns Total Medical Care, P.C.

  • Specialist
  • Lawrence, NY
  • NPI 1851319305
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1346268117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 162ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583158",
            "telephone_number": "917-563-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 MURRAY ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543948",
            "telephone_number": "718-888-1933",
            "fax_number": "718-886-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE",
        "middle_name": "YOUNG",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021208-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung H Kim, DDS
• Sung Uk Kim, MD
• Sung Yup Kim, MD
• Sunmi Kim, DPT
• Tae Jin Kim
• Taegyun Kim, M.D.
• Taehoon Kim, L.AC,
• Tamara Kim
• Un Jeong Kim
• Vivian Eungi Kim, PHARMD

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Sep 11, 2015; 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.