Christopher Kimball, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21476 Issued in NY

Practice address

567 Jericho Tpke
Suite 202
Syosset, NY 11791-4505

Phone

(516) 364-6720

Fax

(516) 364-6722

NPI assigned

May 25, 2006

Last updated

Sep 15, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All-Star Physical Therapy,PCGroup PAC ID 6305738246, 2 clinicians

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.

• All-Star Physical Therapy,PC

  • Physical Therapy Clinic/Center
  • Syosset, NY
  • NPI 1376741629

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1346296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914505",
            "telephone_number": "516-364-6720",
            "fax_number": "516-364-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914505",
            "telephone_number": "516-364-6720",
            "fax_number": "516-364-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "21476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyemi Kim, PA-C
• Raymond Junmok Kim
• Shin Woo Kim
• Tai Kim, M.D.
• Yonggon Kim, L.AC
• King Kullen Pharmacies Corp (King Kullen Pharmacy)
• Ngugi M Kinyungu, MD
• Ashley Klein, RD
• Megan Klein, PA
• Sandra Klein, O.D.

• Physical Therapist in Syosset, NY
• Providers in Syosset, 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 15, 2011; 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.