DR. BOKKYU KIM PT, PHD
NPI 1720879729
Physical Therapist in Fayetteville, NY
About Dr. Bokkyu Kim Pt, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BOKKYU KIM PT, PHD (NPI 1720879729) is an individual physical therapist in Fayetteville, New York, licensed in New York (040603) and active in the NPI registry since May 2025. He is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bokkyu Kim Pt, Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
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 Bokkyu Kim's NPI number?
The NPI number for Bokkyu Kim is 1720879729. It was assigned to this individual provider in the NPPES registry on May 16, 2025.
Where is Bokkyu Kim located?
Bokkyu Kim practices at 4000 Medical Center Dr Ste 108, Fayetteville, NY 13066. The listed phone number is (213) 400-3279.
What is Bokkyu Kim's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Bokkyu Kim enrolled in Medicare?
Yes. Bokkyu 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.
When was this NPI record last updated?
The NPPES record for Bokkyu Kim was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.