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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JINYOUNG KIM, PT, L.AC.

Active Sole Proprietor

JINYOUNG KIM, PT, L.AC. is a Physical Therapy Assistant healthcare provider located in BAYSIDE, New York. NPI 1083379416 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BAYSIDE, NY

Registration Details

NPI Number
1083379416
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2021 (4.7576455225546 yrs)
Last Updated
May 21, 2025
Licenses
007726 (NY)
042377 (NY)
Sole Proprietor
Yes

Practice Information

Address
22304 56TH RD FL 2
BAYSIDE, NY, 113642040
Browse NY providers · Browse ZIP 11364
Phone
2017323333
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BAYSIDE, NY

Name Credential NPI
JOANN FERRARA PT 1306847694
MR. DAVID PAUL NUPP PT 1548255789
MS. LILY C. YEN PT 1396798443
MR. ROBERT ANDREW MOREA PT 1679511877
MRS. MARKELLA SPIRATOS PT 1497781157
MR. FOTIS TSOLIS BS PT 1871697144
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.