Individual provider Active NPI

Eric Kim, DPT

  • Specialist
  • Franklin Square, NY
National Provider Identifier
1952546632
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
030723-1 Issued in NY
Practice address
72 Franklin Ave
Franklin Square, NY 11010-2528
Phone
(516) 437-5300
Fax
(516) 437-2936
NPI assigned
Dec 9, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 030723-1 NY Primary

Addresses

Primary practice location

72 Franklin Ave
Franklin Square, NY 11010-2528

Mailing address

878 Tyler St
Franklin Square, NY 11010-2029
Phone (516) 488-6356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000586 NY Practitioner - Physical Therapist in Private Practice 2365581931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9525 Queens Blvd
Suite 3D
Rego Park, NY 11374-4510
Phone (718) 925-6212

Merit-based Incentive Payment System (MIPS)

Final score
83.29 of 100Reported as individual
Quality
80.34
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030723-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Home Mobility & Safety Consultants, LLC CurrentSince Jun 18, 2023 Accepting new patients
Prohealth Care Associates, LLP Past Accepting new patients
Peter Chaplin PT PC PastSince Mar 20, 2013 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1952546632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 TYLER ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102029",
            "telephone_number": "516-488-6356",
            "fax_number": "516-437-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FRANKLIN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102528",
            "telephone_number": "516-437-5300",
            "fax_number": "516-437-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "030723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.