Youjin Kim, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

023624-1 Issued in NY

Practice address

18507 64TH Ave
Fresh Meadows, NY 11365-2707

Phone

(718) 445-7121

Fax

(718) 445-7123

NPI assigned

Oct 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Yjk Physical Therapy P.C.

  • Physical Therapist
  • Fresh Meadows, NY
  • NPI 1851728737
  NPD (past) Authorized official
• Neo Care Acupuncture P.C.

  • Acupuncturist
  • Fresh Meadows, NY
  • NPI 1780011650
  NPD (past)

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1609204387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505A 67TH AVE APT 3C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653922",
            "telephone_number": "347-886-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18507 64TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652707",
            "telephone_number": "718-445-7121",
            "fax_number": "718-445-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUJIN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023624-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01198900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NA Ae Kim, PHARMD
• Rei Mijung Kim
• Sora Kim
• Sunhee Kim, RPA
• Tae Kim
• Kinetic Health Inc.
• Katherine King
• Norella Carma Tameska King
• Osric Shaun King, MD
• Kings County Physician Services, P.C.

• Physical Therapist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Oct 16, 2013; 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.