Christy Kim, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025555-1 Issued in NY

Practice address

240 Wall St
West Long Branch, NJ 07764-1181

Phone

(732) 222-8556

Fax

(732) 222-8663

NPI assigned

Oct 11, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Wyatt Medical, LLC

  • Rehabilitation Practitioner
  • Howell, NJ
  • NPI 1710938444

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457440356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302809",
            "telephone_number": "718-692-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WALL ST",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641181",
            "telephone_number": "732-222-8556",
            "fax_number": "732-222-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTY",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Jue
• Keith Kanik, M.D.
• Gary V Karakashian, M.D.
• Samantha Keenan, CNM, WHNP-BC
• Amanda Ashley Kelly, MSW, LCSW
• Chaya Sarah Kohn, PA
• Kominos Integrative Cardiology, LLC
• Sandra Fields Kuhn, AUD
• Lisa Marie Lagala, NCC, LPC, ACS
• Margaret Lambert-Woolley, M.D.

• Physical Therapist in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.