Backho Kim, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038794 Issued in NY

Practice address

6019 Roosevelt Ave Ste 221
Woodside, NY 11377-4375

Phone

(929) 232-5758

NPI assigned

May 27, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rothem Tree Physical Therapy PC

  • Physical Therapist
  • Woodside, NY
  • NPI 1992399349
  Medicare reassignment NPD Authorized official
• Ny White Tiger Acupuncture PC

  • Acupuncturist
  • Woodside, NY
  • NPI 1558058461
  NPD Authorized official

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1942867874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE STE 221",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774375",
            "telephone_number": "929-232-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ROOSEVELT AVE STE 221",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774375",
            "telephone_number": "929-232-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BACKHO",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-27",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007243",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahida Khan, M.D.
• Sheena Khan, M.S., SLP
• Rubina Khatoon, DDS
• Kids Dental Village
• Andy Kim, DDS
• Constance H Kim, PA-C
• Eunhyeong Kim
• Gabriella Kim
• Jaehyun Kim
• James Kim

• Physical Therapist in Woodside, NY
• Providers in Woodside, 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 Apr 25, 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.