KIM PHYSICAL THERAPY P. C. (NPI# 1588285407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588285407 |
| Entity Type | Organization |
| Organization Name | KIM PHYSICAL THERAPY P. C. |
| Practice Address |
3310 101st St Fl 2 Corona NY 11368-1018 |
| Mailing Address |
7157 161st St Apt 2a Fresh Meadows NY 11365-4497 |
| Practice Telephone | 3477081294 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Authorized Official Name | DONGEON KIM (DPT/PRESIDENT) |
| Authorized Official Telephone | 9172922961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
3310 101ST ST FL 2 |
| City | CORONA |
| State | NY |
| Zip Code | 11368-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373168 | Dongeon Kim | Physical Therapist | 3310 101st St Fl 2, Corona, NY 11368-1018 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1679118442 | Singh Pt Pllc | Clinic/Center | 3310 101st St Ste 2, Corona, NY 11368-1018 | 2019-11-15 |
| 1255986873 | California Rehab and Sports Therapy | Clinic/Center | 255 E Rincon St Ste 112, Corona, CA 92879-1375 | 2019-08-09 |
| 1639657000 | Liaga Physical Therapy and Wellness Inc | Clinic/Center | 1672 Lilac St, Corona, CA 92882-3936 | 2018-07-30 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| 1306238563 | Rm Elite Rehab Group, Inc. | Clinic/Center | 1026 Railroad St, Corona, CA 92882-1947 | 2015-02-25 |
| 1811335300 | Alpha Physical Therapy Network Inc. | Clinic/Center | 290 Corporate Terrace Cir, Suite 103, Corona, CA 92879-6033 | 2013-06-06 |
| 1134309768 | Rehab Tex Physical Therapy Inc. | Clinic/Center | 647 Shenandoah Rd, Corona, CA 92879-8509 | 2007-11-12 |
| 1740480201 | Y H Physical Therapy PC | Clinic/Center | 4109 108th Street, Corona, NY 11368 | 2007-07-23 |
| 1376174771 | Tender Touch Physical Therapy P.C. | Clinic/Center | 1120 Viewcrest Ct, Corona, CA 92882-8908 | 2020-02-04 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.