Ki Suk Yom, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026065 Issued in NY

Practice address

19505 Northern Blvd # 2F
Flushing, NY 11358-3034

Phone

(718) 661-4130

Fax

(718) 661-4132

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kisuk Yom Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

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

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.

• Sun Ki Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1891358362
  Medicare reassignment NPD
• Sun Ki Center Inc

  • Physical Therapist
  • Flushing, NY
  • NPI 1548580145
  NPD (past) Authorized official
• Harmony Care Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1063990687
  NPD (past)
• JHC OT LLC

  • Rehabilitation Hospital Unit
  • Flushing, NY
  • NPI 1407393168

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1386840932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14351 ROOSEVELT AVE",
            "address_2": "1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546155",
            "telephone_number": "718-661-4130",
            "fax_number": "718-661-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 NORTHERN BLVD # 2F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583034",
            "telephone_number": "718-661-4130",
            "fax_number": "718-661-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOM",
        "first_name": "KI SUK",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01321528",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03103959",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISUK",
            "last_name": "YOM",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ym Acupuncture P.C.
• Yma Pharmacy Inc
• Yoen Cho Physical Therapy PC
• Jong Suk Yom, D.C., L.AC
• Jongwon Yom, DC
• Maiko Yomogida, PH.D.
• Nao Yukie Yoneda, MD
• Yong Jun Kim MD PC
• Yong Luo Allergy and Asthma P.C.
• Yong Max Yu MD, PC

• 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 Mar 25, 2022; 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.