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

Jongho Kim

Individual provider Physical Therapist · NPI 1477417624

Jongho Kim is a Physical Therapist in Private Practice in Henderson, Nevada. Qualified in 2025, 1 year ago. Practices with New Century Rehabilitation LLC, a 86-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
1
Licensed in
NV
In the registry since
2025
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Practice location Address checks out

1505 Wigwam Pkwy Ste 240
Henderson, NV 89074-8195
Phone: (702) 568-0195
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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 6893 (NV)

Record details

NPI number1477417624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address68 Northern Pkwy W, Plainview, NY 11803-2932

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice New Century Rehabilitation Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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