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

Mrs. Sun Joo Kim

Individual provider Physical Therapist · NPI 1639506991

Mrs. Sun Joo Kim is registered under Physical Therapist in Private Practice in New York, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2011, 15 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
15
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

139 Centre St 505
New York, NY 10013-4552 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 274-9870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 032250 (NY)

Record details

NPI number1639506991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2013
Last updated in NPPESMay 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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