Individual provider · Type 1 NPI

Bokkyu Kim, PT, PhD

Physical Therapist · Fayetteville, NY

NPI number 1720879729 Active

Practice location

4000 Medical Center Dr, Ste 108
Fayetteville, NY 13066

Mailing address

7282 Dabney Ln
Fayetteville, NY 13066-1823

Specialties and licenses

TaxonomyCodeLicense
Neurology Physical Therapist 2251N0400X040603 (NY)
Physical Therapist Primary 225100000X040603 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1720879729

Bokkyu Kim, PT, PhD's National Provider Identifier is 1720879729, issued on May 16, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Fayetteville, NY. The record was last updated on Nov 17, 2025.