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HYUNJONG KIM DPT
NPI 1265076889
Physical Therapist - Orthopedic in Great Neck, NY

Active since November 06, 2019Accepts Medicare Assignment
88.87/100
CMS Quality Rating
17 SCHENCK AVE APT 2B, GREAT NECK, NY 11021(646) 379-9994 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Nov 7, 2023, Nov 6, 2019 (3 updates tracked since 2019).

About Hyunjong Kim Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HYUNJONG KIM DPT (NPI 1265076889) is an individual orthopedic provider in Great Neck, New York and active in the NPI registry since November 2019. He is a graduate of Other (2016).

NPPES Registry Identity

NPI1265076889
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameHYUNJONG KIMCredential: DPT
Location Address17 SCHENCK AVE APT 2BGreat Neck, NY 11021-3610
Mailing Address17 Schenck Ave Apt 2bGreat Neck, NY 11021-3610 · (646) 379-9994
Phone(646) 379-9994
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 6, 2019
Last NPPES UpdateNovember 5, 20253 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1265076889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
17 SCHENCK AVE APT 2B, Great Neck, NY 11021
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hyunjong Kim Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618367475
PECOS Enrollment IDI20241029002849

Medicare Billing Reassignment

Medicare enrollment records show Hyunjong Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy Doctor,p.C
3.1 mi
Physical Therapist
1303 BELL BLVD
Bayside, NY 11360
  • Reassigned Medicare billing, New York enrollment
  • 19 clinicians in this Medicare group
NPI 1568494300 (718) 747-2019

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
443 services40 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
369 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.91
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hyunjong Kim's NPI number?

The NPI number for Hyunjong Kim is 1265076889. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Hyunjong Kim located?

Hyunjong Kim practices at 17 Schenck Ave Apt 2B, Great Neck, NY 11021. The listed phone number is (646) 379-9994.

What is Hyunjong Kim's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Hyunjong Kim enrolled in Medicare?

Yes. Hyunjong Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hyunjong Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyunjong Kim reassigns Medicare benefits to Physical Therapy Doctor,p.C (Bayside, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hyunjong Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hyunjong Kim was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.