Hyun J Kim Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029131 Issued in NY

Legal business name

HYUN J KIM PHYSICAL THERAPY PC

Practice address

615 Seneca Ave
#1FL
Ridgewood, NY 11385-2170

Phone

(718) 497-9760

Fax

(718) 197-9763

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Hyun J Kim, DPT

Title

President

Phone

(646) 258-7702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1417399874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315C 69TH AVE",
            "address_2": "#2B",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654007",
            "telephone_number": "646-253-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SENECA AVE",
            "address_2": "#1FL",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852170",
            "telephone_number": "718-497-9760",
            "fax_number": "718-197-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN J KIM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-258-7702",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Ridgewood, NY
• Providers in Ridgewood, 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 Apr 22, 2016; 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.