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JOSEPH KIM DPT
NPI 1417462284
Physical Therapist - Orthopedic in New York, NY

Active since December 02, 2017Accepts Medicare Assignment
30 BROAD ST, LEVEL A, NEW YORK, NY 10004(646) 790-7454(212) 379-2076 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 14, 2019, Dec 2, 2017 (2 updates tracked since 2017).

About Joseph Kim Dpt NPPES

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

JOSEPH KIM DPT (NPI 1417462284) is an individual orthopedic provider in New York, New York, licensed in New York (042380) and active in the NPI registry since December 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1417462284
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJOSEPH KIMCredential: DPT
Location Address30 BROAD ST, LEVEL ANew York, NY 10004-2304
Mailing Address307 5th Ave Fl 6New York, NY 10016-6575 · (212) 759-2282 · Fax (212) 379-2123
Phone(646) 790-7454
Fax(212) 379-2076
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 2, 2017
Last NPPES UpdateJune 14, 20192 updates tracked since enumeration
✔ NPI 1417462284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 042380
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 042380 (NY)
30 BROAD ST, New York, NY 10004
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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

Joseph 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 ID5597023606
PECOS Enrollment IDI20171219001999

Medicare Billing Reassignment

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

New York University
1,036 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY MAK PT, DPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
MEGHA D PADHIAR MSPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
GREGORY E MISCH M.P.T
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
New York County (212) 587-8606
DR. PATRICK VIOLANTI
Chiropractor (Sports Physician)
30 BROAD ST
NEW YORK, NY 10004
New York County (212) 792-9292
SUNNY DILIP THAKKAR PT
Physical Therapist
30 BROAD ST, 12TH FLOOR
NEW YORK, NY 10004
New York County (212) 587-8606
CHRISTINE ANN LEE PT, DPT
Physical Therapist
30 BROAD ST
NEW YORK, NY 10004
New York County (646) 790-7454
SPEAR PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Physical Therapist
30 BROAD ST, LEVEL A
NEW YORK, NY 10004
New York County (646) 790-7454
MELANIE CHANG NP, RN
Nurse Practitioner
30 BROAD ST, 45TH FLOOR
NEW YORK, NY 10004
New York County (888) 663-6331

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 Joseph Kim's NPI number?

The NPI number for Joseph Kim is 1417462284. It was assigned to this individual provider in the NPPES registry on December 2, 2017.

Where is Joseph Kim located?

Joseph Kim practices at 30 Broad St Level A, New York, NY 10004. The listed phone number is (646) 790-7454.

What is Joseph Kim's specialty?

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

Is Joseph Kim enrolled in Medicare?

Yes. Joseph 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 Joseph Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Kim reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Joseph 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 Joseph Kim was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.