Individual provider Active NPI

Hyoungjoon Kim, P.T.

  • Physical Therapist
  • New York, NY
National Provider Identifier
1427451079
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033514 Issued in NY
Practice address
120 E 56TH St RM 330
New York, NY 10022
Phone
(347) 535-5354
NPI assigned
Sep 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 033514 NY Primary

Addresses

Primary practice location

120 E 56TH St RM 330
New York, NY 10022

Mailing address

120 E 56TH St RM 330
New York, NY 10022-3751

Other practice location 1

136 E 57th St
Suite 801
New York, NY 10022-2707
Phone (929) 278-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202000739 NY Practitioner - Physical Therapist in Private Practice 1052633039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance in Motion Physical Therapy PCGroup PAC ID 5294015673, 4 clinicians

Practice addresses (Care Compare)

120 E 56TH St
RM 330
New York, NY 10022-3751
Phone (347) 535-5354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033514NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hkim Physical Therapy PC CurrentSince Oct 19, 2020 Accepting new patients

Locations

224 W 35th St
Ste 708
New York, NY 10001
Phone (212) 560-9218

120 E 56th St
Rm 330
New York, NY 10022
Phone (347) 535-5354

120 E 56th St
Rm 500
New York, NY 10022
Phone (212) 809-1186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1427451079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 330",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 330",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "347-535-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 E 57th St",
            "address_2": "Suite 801",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100222707",
            "country_code": "US",
            "telephone_number": "929-278-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYOUNGJOON",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2023-06-02",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.