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

Jong Moon Kim, DPT

Individual provider Physical Therapist · NPI 1225697741

Jong Moon Kim, DPT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2019, 7 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
7
Licensed in
CA, NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

136 E 57th St Ste 801
New York, NY 10022-2971
Phone: (212) 920-7653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6 Woodsorrel, Irvine, CA 92604-4623 — (212) 920-7653
  • 2915 Broadway Apt 3r, Astoria, NY 11106-2949 — (212) 920-7653
  • 18130 Dalny Rd, Jamaica, NY 11432-2341 — (212) 920-7653

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040900 (NY)
Physical Therapist Taxonomy 225100000X · Licence 300352 (CA)

Record details

NPI number1225697741
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 8, 2019
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients94
Services billed 1,227 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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