Active NPI
Yongha Kim, PT
- Physical Therapist
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37344
- Practice address
- 15015 41St Ave
#2
Flushing, NY 11354-4917 - Phone
- (571) 835-5038
- NPI assigned
- May 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 294694 | CA | |
| Physical Therapist | 225100000X | 2305208592 | VA | |
| Physical Therapist | 225100000X | 37344 | NY | Primary |
Addresses
Primary practice location
15015 41St Ave
#2
Flushing, NY 11354-4917
Mailing address
11405 Fulbourn CT
Rancho Cucamonga, CA 91730-8341
Phone (571) 835-5038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294694 | CA | MD | Physical Therapist |
| 37344 | NY | MD | Physical Therapist |
| 2305208592 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naum Physical Therapy PC | Current | Accepting new patients | |
| Choice Physical Therapy & Rehab PC | Physical Therapist | Current | Accepting new patients |
Locations
266 S Harvard Blvd
Ste 370
Los Angeles, CA 90004
Phone (213) 786-1088
3251 W 6th St
Ste 410
Los Angeles, CA 90020
Phone (213) 388-0182
520 S Virgil Ave
Ste 201
Los Angeles, CA 90020
Phone (213) 365-0023
18771 Colima Rd
Rowland Hghts, CA 91748
Phone (626) 269-0706
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 Therapist
- Los Angeles, CA
- NPI 1457875494
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1295340792
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1619410768
-
- Physical Therapy Clinic/Center
- Flushing, NY
- NPI 1588018790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1679985535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11405 FULBOURN CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308341",
"telephone_number": "571-835-5038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15015 41ST AVE",
"address_2": "#2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544917",
"telephone_number": "571-835-5038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YONGHA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294694",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208592",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "37344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.