Kim Physical Therapy P. C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KIM PHYSICAL THERAPY P. C.

Practice address

3310 101St St FL 2
Corona, NY 11368-1018

Phone

(347) 708-1294

NPI assigned

May 1, 2020

Last updated

May 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dongeon KimNPI 1003373168

Title

DPT/President

Phone

(917) 292-2961

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dongeon Kim

  • Physical Therapist
  • Corona, NY
  • NPI 1003373168
  NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1588285407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 161ST ST APT 2A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 101ST ST FL 2",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681018",
            "telephone_number": "347-708-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM PHYSICAL THERAPY P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGEON",
        "authorized_official_title_or_position": "DPT/PRESIDENT",
        "authorized_official_telephone_number": "917-292-2961"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usman Khan, PHARM.D.
• Ashmita Khatri
• Emily Khodosh
• Nellya Kikirova
• Ashley Kilian
• Dongeon Kim
• Han NA Kim, P.T.
• Helen Hyo Jung Kim, MD
• Hyon Chol Kim, LAC
• Jae Hoon Kim, D.C.

• Physical Therapy Clinic/Center in Corona, NY
• Providers in Corona, 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 May 1, 2020; 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.