Dr. Bokkyu Kim, PT, PHD

Individual provider Neurology Physical Therapist · NPI 1720879729

Dr. Bokkyu Kim, PT, PHD is a Physical Therapist in Private Practice in Fayetteville, New York. Qualified in 2006, 20 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying: 20
Licensed in: NY
In the registry since: 2025
Specialties on file: 2

What do these letters mean?

PT — Physical Therapist: A licensed therapist who treats movement, pain and injury.
PHD — Doctor of Philosophy: A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4000 Medical Center Dr Ste 108
Fayetteville, NY 13066
Phone: (213) 400-3279

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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 040603 (NY)
Neurology Physical Therapist	Taxonomy 2251N0400X · Licence 040603 (NY)

Record details

NPI number	1720879729
Entity type	Individual (Type 1)
Gender	Male
Credentials	PT , PHD
Sole proprietor	No
NPI enumerated	May 16, 2025
Last updated in NPPES	November 17, 2025
Certification date	November 17, 2025

Medicare enrollment

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

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2006 (20 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount