Daegyun Kim, PT, LAC
Physical Therapist · Edison, NJ
Daegyun Kim, PT, LAC is a physical therapist with a practice address in Edison, New Jersey, and NPI 1669404323, issued on Jul 6, 2006. Check the license (New Jersey 40QA01140100, as entered in NPPES) with the New Jersey board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Daegyun Kim
- Credential
- PT, LAC
- Primary taxonomy
- Physical Therapist 225100000X
- License numbers
- 40QA01140100 NJ
25MZ00040500 NJ
017470 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1581 Route 27 Unit 3, Edison, NJ 08817
- Phone
- (732) 287-1990
- Enumerated
- Jul 6, 2006
- Record last updated
- Mar 5, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (732) 287-1996
- Medicaid ID
- 02646413 NY
- Medicare enrollment
- Enrolled (PECOS I20050527000139); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Daegyun Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 40QA01140100Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
174 physical therapist records list a practice address in Edison
They are 174 of the 2,434 NPPES records with a practice address in Edison, and 9,733 physical therapist records in New Jersey. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 174 in Edison → All 9,733 in New Jersey → Every provider in Edison →
Other physical therapist records in New Jersey
- Joseph Abadir, DPTClifton, NJ1962836882
- Nancy Abadir, PTSpotswood, NJ1699449983
- Aimee Lynn AbalosBloomfield, NJ1225214232
- Rey Abalos, PTBloomfield, NJ1578753406
- Venisse AbanillaBridgewater, NJ1083548572
- Arnulfo AbanisPaterson, NJ1174994891
- Mariacelema Abantao, PTMonroe Township, NJ1497871743
- Theresa Abapo, DPTLakewood, NJ1316797947
- Kyle AbbottSewell, NJ1689144040
- Yasmin Abd ElhadyUnion, NJ1548662091
Common questions
What is Daegyun Kim, PT, LAC's NPI number?
Daegyun Kim, PT, LAC's National Provider Identifier (NPI) is 1669404323, issued on Jul 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Daegyun Kim, PT, LAC located?
The NPPES record lists a practice address at 1581 Route 27 Unit 3, Edison, NJ, 08817. Phone: (732) 287-1990. Providers update this record themselves, so call before visiting.
How can I verify Daegyun Kim, PT, LAC's license?
NPPES lists New Jersey license number 40QA01140100, as entered by the provider. Search the New Jersey 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.