Man S. Kim Physical Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAN S. KIM PHYSICAL THERAPY P.C.

Practice address

16 W 32ND St Ste 1007
New York, NY 10001-3852

Phone

(718) 791-5951

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mansoo KimNPI 1386113819

Title

President

Phone

(718) 791-5951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mansoo Kim

  • Physical Therapist
  • New York, NY
  • NPI 1386113819
  Medicare reassignment Authorized official
• Deukyoung Cha, PT, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1669501094
  NPD
• Chulbum Lim, DPT

  • Physical Therapist
  • Flushing, NY
  • NPI 1609256130
  NPD (past)

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1831719707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 TENNEY AVE",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612234",
            "telephone_number": "718-791-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W 32ND ST STE 1007",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013852",
            "telephone_number": "718-791-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN S. KIM PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MANSOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-791-5951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Meroy Mamot, DMD
• Mara D. Mamroud, M.S., CCC-SLP
• Anita Mamtani, M.D.
• Hafsa Mamun
• Rusudan Mamutchadze, M.D.
• Dennis Man, RPH
• Gabriel Man, M.D.
• Katie Man
• Martin Man, D.M.D,
• Scott Manago, PT

• Physical Therapist in New York, NY
• Providers in New York, 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 Mar 23, 2023; 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.

Verify at the official NPI Registry.