Young Man Kim Physical Therapy, P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

017611 Issued in NY

Legal business name

YOUNG MAN KIM PHYSICAL THERAPY, P.C.

Practice address

16332 Northern Blvd
2D
Flushing, NY 11358-2676

Phone

(718) 353-3988

Fax

(718) 353-9424

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Kevin Kim, P.T.

Title

Physical Therapist

Phone

(718) 353-3988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1487940730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16332 NORTHERN BLVD",
            "address_2": "2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582676",
            "telephone_number": "718-353-3988",
            "fax_number": "718-353-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16332 NORTHERN BLVD",
            "address_2": "2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582676",
            "telephone_number": "718-353-3988",
            "fax_number": "718-353-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MAN KIM PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-353-3988",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "017611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.