Individual provider Active NPI

Hyosuk Kim

  • Physical Therapist
  • New York, NY
National Provider Identifier
1922753839
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048492 Issued in NY
Practice address
33 W 46TH St Ste 801W
New York, NY 10036-4103
Phone
(551) 242-4428
NPI assigned
Feb 18, 2022
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 048492 NY Primary

Addresses

Primary practice location

33 W 46TH St Ste 801W
New York, NY 10036-4103

Mailing address

960 Ray Ave
Ridgefield, NJ 07657-1115
Phone (105) 512-4245

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000918 NY Practitioner - Physical Therapist in Private Practice 1658752993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
88.31
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048492NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Woo Physical Therapy PC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Hyosuk Physical Therapy PC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Doctors United, Inc CurrentSince May 16, 2022 Accepting new patients

Locations

907 E Tremont Ave
Bronx, NY 10460
Phone (718) 589-9588

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

576 Broadhollow Rd
Melville, NY 11747

12 E 44th St
Fl 5
New York, NY 10017
Phone (212) 706-7480

33 W 46th St
Ste 801
New York, NY 10036
Phone (212) 302-2692

33 W 46th St
Ste 801W
New York, NY 10036
Phone (212) 302-2692

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

340 S Broadway
Yonkers, NY 10705
Phone (914) 968-5125

Organizations & group practices 6

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1922753839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 RAY AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571115",
            "telephone_number": "105-512-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 46TH ST STE 801W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364103",
            "telephone_number": "551-242-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYOSUK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048492",
            "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 Feb 18, 2022; 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.