RED MOON PHYSICAL THERAPY P.C.
NPI 1962067033
Clinic/Center - Physical Therapy in New York, NY
About Red Moon Physical Therapy P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RED MOON PHYSICAL THERAPY P.C. (NPI 1962067033) is a healthcare organization registered as a physical therapy in New York, New York and active in the NPI registry since May 2019. The organization lists Jong Moon Kim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Red Moon 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 Red Moon Physical Therapy P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Red Moon Physical Therapy P.C.'s NPI number?
The NPI number for Red Moon Physical Therapy P.C. is 1962067033. It was assigned to this organization in the NPPES registry on May 4, 2019.
Where is Red Moon Physical Therapy P.C. located?
Red Moon Physical Therapy P.C. is located at 136 E 57th St Ste 801, New York, NY 10022. The listed phone number is (212) 920-7653.
What is Red Moon Physical Therapy P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Red Moon Physical Therapy P.C. enrolled in Medicare?
Yes. Red Moon Physical Therapy P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Red Moon 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 Red Moon 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 Red Moon Physical Therapy P.C. was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Red Moon Physical Therapy P.c. · NPI 1962067033
Physical Therapy organization in New York, New York. Organization record, active in the CMS NPPES registry since May 4, 2019.
## Identity
- **NPI:** 1962067033 (Entity type: Organization)
- **Enumerated:** May 4, 2019
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jong Moon Kim, PRESIDENT
## Practice location
- **Address:** 136 E 57TH ST STE 801, New York, NY 10022-2971
- **Phone:** (212) 920-7653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962067033) · Data from the CMS NPPES public registry.