Individual provider Active NPI

Joseph Kim, DPT

  • Physical Therapist
  • Quincy, MA
National Provider Identifier
1649098344
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL27836 Issued in MA
Practice address
479 Washington St
Quincy, MA 02169-5895
Phone
(401) 433-4172
Fax
(401) 433-6012
NPI assigned
Oct 1, 2024
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL27836 MA Primary

Addresses

Primary practice location

479 Washington St
Quincy, MA 02169-5895

Mailing address

26 Mansfield St Apt 2
Allston, MA 02134-1433
Phone (805) 585-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428000199 MA Practitioner - Physical Therapist in Private Practice 4082130653 Reassigns benefits to 2 organizations

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
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians
Beantown Physio, IncGroup PAC ID 0749254746, 7 clinicians

Practice addresses (Care Compare)

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630

33 Pond Ave
107B
Brookline, MA 02445-7163
Phone (617) 232-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL27836MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Beantown Physio, Inc Physical Therapist CurrentSince Mar 19, 2025 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

1208B Vfw Pkwy
Ste 202
West Roxbury, MA 02132
Phone (617) 325-7246

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 3

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1649098344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MANSFIELD ST APT 2",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341433",
            "telephone_number": "805-585-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695895",
            "telephone_number": "401-433-4172",
            "fax_number": "401-433-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.

Verify at the official NPI Registry.