Soon Ok Kim, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021153-1 Issued in NY

Practice address

16410 Northern Blvd Ste 201
Flushing, NY 11358-2647

Phone

(718) 463-2700

Fax

(718) 463-6174

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

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.

• Koam Physical Therapy, P.C.

  • Specialist
  • Flushing, NY
  • NPI 1316131303

  Physical Therapist

  Medicare reassignment NPD Authorized official
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1992844260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 CONCORD AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201028",
            "telephone_number": "718-463-2700",
            "fax_number": "718-463-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD STE 201",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582647",
            "telephone_number": "718-463-2700",
            "fax_number": "718-463-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOON OK",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021153-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seung Kwan Kim, M.D.
• Shine H Kim, M.D.
• Sonjong Kim, L.AC. MSTOM
• Soo Kim, RPH
• Soo-Myo Kim, RPH
• Stanley-Sangwook Kim, D.O.
• Sue Kim
• Sun Kim
• Sun Hi Kim, RPH
• Sun Ho Kim II

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Nov 1, 2024; 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.