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

Ezra Kim

Individual provider Physical Therapist · NPI 1588538086

Ezra Kim is a Physical Therapist in Private Practice in Coconut Creek, Florida. Qualified in 2022, 4 years ago. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

6976 Broadland Way
Coconut Creek, FL 33073-2175
Phone: (770) 846-7227
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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 PT40159 (FL)

Record details

NPI number1588538086
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedSeptember 30, 2025
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address6976 Broadland Way, Coconut Creek, FL 33073-2175

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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