Red Moon Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RED MOON PHYSICAL THERAPY P.C.

Practice address

136 E 57TH St Ste 801
New York, NY 10022-2971

Phone

(212) 920-7653

NPI assigned

May 4, 2019

Organization subpart

No

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

Authorized official

Name

Jong Moon KimNPI 1225697741

Title

President

Phone

(212) 920-7653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Jong Moon Kim, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1225697741
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1556928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1962067033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222971",
            "telephone_number": "212-920-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222971",
            "telephone_number": "212-920-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOON PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG MOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-920-7653"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rector, PT, DPT
• Matthew Christison Rector, PT
• Bruno Recupero, M.D.
• Red Door Therapeutic Collective
• Red Lotus Acupuncture PLLC
• Red Ribbon Pharmacy Inc
• Red Road Medical PC
• Hamid Reda, PHARMD
• Richard Joseph Reda, DPT
• Robert C Reda, LCSW

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.