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

Changyoung Kim

Individual provider Physical Therapist · NPI 1124363916

Changyoung Kim is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

14945 Northern Blvd Apt 3N
Flushing, NY 11354-3897
Phone: (718) 702-8085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032517 (NY)

Record details

NPI number1124363916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 5, 2012
Last updated in NPPESDecember 5, 2012
Mailing address14945 Northern Blvd, Apt 3n, Flushing, NY 11354-3897

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flushing