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

Ki Suk Yom, MS

Individual provider Physical Therapist · NPI 1386840932

Ki Suk Yom, MS is a Physical Therapist in Private Practice in Flushing, New York. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

19505 Northern Blvd # 2F
Flushing, NY 11358-3034
Phone: (718) 661-4130
Fax: (718) 661-4132
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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 026065 (NY)

Record details

NPI number1386840932
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJune 21, 2007
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address14351 Roosevelt Ave, 1f, Flushing, NY 11354-6155

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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