Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bumsoo Kim, PTA

Individual provider Physical Therapy Assistant · NPI 1295473486

Bumsoo Kim, PTA is a Physical Therapy Assistant in Longwood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

449 Springwood Ct
Longwood, FL 32750-3036
Phone: (201) 983-9161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 30821 (FL)

Record details

NPI number1295473486
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESMay 26, 2022
Certification dateMay 18, 2022
Mailing address449 Springwood Ct, Longwood, FL 32750-3036

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