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

Mansoo Kim

Individual provider Physical Therapist · NPI 1386113819

Mansoo Kim is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2012, 14 years ago. Practices with Cha Physical Therapy PC, a 2-clinician group. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

139 Centre St Ste 507
New York, NY 10013-4555
Phone: (718) 353-6835
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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 033109 (NY)
Acupuncturist Taxonomy 171100000X · Licence 6765 (NY)

Record details

NPI number1386113819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESMarch 24, 2023
Certification dateMarch 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cha Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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 patients24
Services billed 811 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.

Colleagues at Cha Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York