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

Mr. Daegyun Kim, PT, LAC

Individual provider Acupuncturist · NPI 1669404323

Mr. Daegyun Kim, PT, LAC is a Physical Therapist in Private Practice in Edison, New Jersey. Qualified in 1997, 29 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
29
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1581 Route 27 Unit 3
Edison, NJ 08817-3477
Phone: (732) 287-1990
Fax: (732) 287-1996
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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 40QA01140100 (NJ)
Acupuncturist Taxonomy 171100000X · Licence 25MZ00040500 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 017470 (NY)

Record details

NPI number1669404323
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , LAC
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 5, 2021
Certification dateMarch 4, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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