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

Taeyong Kim, PT

Individual provider Physical Therapist · NPI 1235597824

Taeyong Kim, PT is a Physical Therapist in Elmhurst, New York. Licensed in Maryland, New York and Virginia. Registered with an NPI since 2016.

Licensed in
MD, NY, VA
In the registry since
2016
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9115 Lamont Ave Apt 2K
Elmhurst, NY 11373-2731
Phone: (909) 815-1269
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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 2305209975 (VA)
Physical Therapist Taxonomy 225100000X · Licence 25837 (MD)
Physical Therapist Taxonomy 225100000X · Licence 039812 (NY)

Record details

NPI number1235597824
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

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