Active NPI
Sun Joo Kim
- Physical Therapist
- New York, NY
National Provider Identifier
1639506991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032250
- Practice address
- 139 Centre St
505
New York, NY 10013-4552 - Phone
- (212) 274-9870
- NPI assigned
- Oct 2, 2013
- Last updated
- May 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 032250 | NY | Primary |
Addresses
Primary practice location
139 Centre St
505
New York, NY 10013-4552
Mailing address
21519 39TH Ave
505
Bayside, NY 11361-2114
Phone (718) 229-0707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18901 Northern Blvd
Suite C2
Flushing, NY 11358-3465
Phone (631) 326-4578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| You Need Physical Therapy, P.C. | Current | Accepting new patients | |
| Nick Yoon Physical Therapy P.C. | Physical Therapist | Past | Accepting new patients |
| Cindy Chen MD PC | Past | Accepting new patients |
Locations
18901 Northern Blvd
Ste C2
Flushing, NY 11358
Phone (631) 326-4578
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Elmont, NY
- NPI 1568868354
-
dba 21 physical therapy
- Orthopedic Physical Therapist
- Flushing, NY
- NPI 1033854773
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1790084457
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1710326772
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1639506991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21519 39TH AVE",
"address_2": "505",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612114",
"telephone_number": "718-229-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"address_2": "505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-274-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SUN JOO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032250",
"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 May 26, 2016; 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.