BACKHO KIM PHYSICAL THERAPY
NPI 1942867874
Physical Therapist in Woodside, NY

Active since May 27, 2019Accepts Medicare Assignment
6019 ROOSEVELT AVE STE 221, WOODSIDE, NY 11377(929) 232-5758 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2026, Mar 16, 2023, Oct 5, 2020 and 1 more (4 updates tracked since 2019).

About Backho Kim Physical Therapy NPPES

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

BACKHO KIM PHYSICAL THERAPY (NPI 1942867874) is an individual physical therapist in Woodside, New York, licensed in New York (038794) and active in the NPI registry since May 2019. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1942867874
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBACKHO KIMCredential: PHYSICAL THERAPY
Location Address6019 ROOSEVELT AVE STE 221Woodside, NY 11377-4375
Mailing Address6019 Roosevelt Ave Ste 221Woodside, NY 11377-4375 · (929) 232-5758
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 27, 2019
Last NPPES UpdateApril 25, 20264 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
NPI 1942867874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 038794
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedAcupuncturistTaxonomy 171100000X · License 007243 (NY)
6019 ROOSEVELT AVE STE 221, Woodside, NY 11377

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Backho Kim Physical Therapy 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 ID1254745193
PECOS Enrollment IDI20210204000467

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11377 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Acupuncturist
6019 ROOSEVELT AVE STE 221
WOODSIDE, NY 11377
Physical Therapist
6019 ROOSEVELT AVE STE 221
WOODSIDE, NY 11377

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 Backho Kim's NPI number?

The NPI number for Backho Kim is 1942867874. It was assigned to this individual provider in the NPPES registry on May 27, 2019.

Where is Backho Kim located?

Backho Kim practices at 6019 Roosevelt Ave Ste 221, Woodside, NY 11377. The listed phone number is (929) 232-5758.

What is Backho Kim's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Backho Kim enrolled in Medicare?

Yes. Backho 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 Backho Kim was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.