Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessie Kim

Individual provider Physical Therapist · NPI 1306375258

Jessie Kim is a Physical Therapist in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

115 W 45th St Ste 503
New York, NY 10036-4005
Phone: (646) 983-0085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 Hallock Rd Ste 209, Stony Brook, NY 11790-3082 — (631) 338-8516

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034901 (NY)

Record details

NPI number1306375258
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2017
Last updated in NPPESJanuary 6, 2024
Certification dateJanuary 6, 2024

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