KOAM PHYSICAL THERAPY, P.C.
NPI 1316131303
Specialist in Flushing, NY

Active since September 01, 2007
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358(718) 463-2700(718) 463-6174 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Koam Physical Therapy, P.c. NPPES

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

KOAM PHYSICAL THERAPY, P.C. (NPI 1316131303) is a healthcare organization registered as a specialist in Flushing, New York and active in the NPI registry since September 2007. The organization lists Soon Ok Kim, President, as its authorized official.

NPPES Registry Identity

NPI1316131303
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKOAM PHYSICAL THERAPY, P.C.
Location Address16410 NORTHERN BLVD STE 201Flushing, NY 11358-2668
Mailing Address16410 Northern Blvd Ste 201Flushing, NY 11358-2668 · (718) 463-2700 · Fax (718) 463-6174
Fax(718) 463-6174
Organization SubpartNo
Authorized OfficialSoon Ok KimPresident · (718) 463-2700
Enumeration DateSeptember 1, 2007
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1316131303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 021153
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
16410 NORTHERN BLVD STE 201, Flushing, NY 11358

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koam Physical Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Koam Physical Therapy, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1992844260
16410 NORTHERN BLVD STE 201
Flushing, NY 11358
(718) 463-2700
Same address

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

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 Koam Physical Therapy, P.C.'s NPI number?

The NPI number for Koam Physical Therapy, P.C. is 1316131303. It was assigned to this organization in the NPPES registry on September 1, 2007.

Where is Koam Physical Therapy, P.C. located?

Koam Physical Therapy, P.C. is located at 16410 Northern Blvd Ste 201, Flushing, NY 11358. The listed phone number is (718) 463-2700.

What is Koam Physical Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Koam Physical Therapy, P.C. enrolled in Medicare?

Yes. Koam Physical Therapy, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Koam Physical Therapy, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Koam Physical Therapy, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Koam Physical Therapy, P.C. was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.