Active NPI
Yejin Kim, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 052918
- Practice address
- 1 Hanson PL
Suite 704
Brooklyn, NY 11243-2907 - Phone
- (718) 857-1900
- Fax
- (718) 857-1902
- NPI assigned
- Sep 16, 2024
- Last updated
- Sep 16, 2024
- 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 | 052918 | NY | Primary |
Addresses
Primary practice location
1 Hanson PL
Suite 704
Brooklyn, NY 11243-2907
Mailing address
1255 5TH Ave Apt 6L
New York, NY 10029-3996
Phone (914) 400-1500
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
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
139 E 57TH St
New York, NY 10022-2102
Phone (914) 400-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Sos PT PC | Single Specialty | Current | Accepting new patients |
Locations
1 Hanson Pl
Brooklyn, NY 11243
Phone (718) 783-0934
1 Hanson Pl
Ste 704
Brooklyn, NY 11243
Phone (718) 857-1900
1255 5th Ave
Apt 6L
New York, NY 10029
Phone (914) 390-0080
139 E 57th St
New York, NY 10022
Phone (212) 753-4767
139 E 57th St
Fl 3
New York, NY 10022
Phone (212) 753-4767
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1639906480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 5TH AVE APT 6L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293996",
"telephone_number": "914-400-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HANSON PL",
"address_2": "SUITE 704",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112432907",
"telephone_number": "718-857-1900",
"fax_number": "718-857-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YEJIN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "052918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.