Bokkyu Kim, PT, PHD
Physical Therapist · Fayetteville, NY
Bokkyu Kim, PT, PHD is a physical therapist with a practice address in Fayetteville, New York, and NPI 1720879729, issued on May 16, 2025. Check the license (New York 040603, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Bokkyu Kim
- Credential
- PT, PHD
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 040603 NY
Self-reported in NPPES; status is on the state search - Practice location
- 4000 Medical Center Dr, Fayetteville, NY 13066
- Phone
- (213) 400-3279
- Enumerated
- May 16, 2025
- Record last updated
- Nov 17, 2025
- Medicare enrollment
- Enrolled (PECOS I20251114000905); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 21,756 in New York → Look up another NPI →
Also registered at 4000 Medical Center Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Devyn Hardy, FNP-CFamily Nurse Practitioner1184352700
- Stephen Hoag, MDFamily Medicine Physician1740254242
Verify Bokkyu Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 040603Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bokkyu Kim among 21,756 physical therapist records in New York
Bokkyu Kim, PT, PHD is one of 21,756 physical therapist records with a practice address in New York. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 2% newer
- In a Medicare fileNo · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2006 · median 2016 among the 7,302 with a school on file
- Record last updated2025 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 physical therapist records list a practice address in Fayetteville
They are 32 of the 450 NPPES records with a practice address in Fayetteville, and 21,756 physical therapist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 21,756 in New York → Every provider in Fayetteville → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Nicola Argese, P.T.Fayetteville, NY 130661932168358
- George Barrett, PTFayetteville, NY 130661215980339
- Mary Beth Borio, DPT, MS, CERT MDTFayetteville, NY 130661427267491
- Mark Cook, PTFayetteville, NY 130661851388938
- Mary Lou Corcoran, PTFayetteville, NY 130661750327763
- Larry Gravante, PTFayetteville, NY 130661801825377
- Jessica Knapp, PTFayetteville, NY 130661649446170
- Jennifer Miller, PTFayetteville, NY 130661417919457
Common questions
What is Bokkyu Kim, PT, PHD's NPI number?
Bokkyu Kim, PT, PHD's National Provider Identifier (NPI) is 1720879729, issued on May 16, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Bokkyu Kim, PT, PHD located?
The NPPES record lists a practice address at 4000 Medical Center Dr, Fayetteville, NY, 13066. Phone: (213) 400-3279. Providers update this record themselves, so call before visiting.
How can I verify Bokkyu Kim, PT, PHD's license?
NPPES lists New York license number 040603, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.