Brian Alexander Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

14703 Willets Point Blvd
Whitestone, NY 11357-3544

Phone

(646) 915-4558

NPI assigned

Jan 23, 2023

Last updated

Jan 23, 2023By 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

Enrolled in CA, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Luna Care Physical Therapy PLLCGroup PAC ID 0840604666, 62 clinicians

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Harrison, NY
  • NPI 1396799409
  Medicare reassignment Care Compare group NPD
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment Care Compare group
• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  Medicare reassignment NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1932152063
  NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Encinitas, CA
  • NPI 1588610315
  NPD (past)
• Eggleton & Langton Physical Therapy Management Services

  dba PRN Desert Rehabilitation Institute

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)
• Eggleton Langton Physical Therapy Management Services

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1225084056
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1366157547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573544",
            "telephone_number": "646-915-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573544",
            "telephone_number": "646-915-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRIAN",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Khayumov, MA
• Stephanie Kidwell, RN
• Kristy Kiely
• Olivia Paige Kilkenny, CF-SLP
• Ashley Kim, CF-SLP
• Christine Haejun Kim, MD
• Francisca Bona Kim
• Jane Kim
• Jeong Hi Kim
• Junie Kim

• Physical Therapist in Whitestone, NY
• Providers in Whitestone, 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 Jan 23, 2023; 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.