Healthcare Provider Details

I. General information

NPI: 1487238226
Provider Name (Legal Business Name): ENJOY PHYSICAL THERAPY REHABILITATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E 40TH ST FL 2
NEW YORK NY
10016-0134
US

IV. Provider business mailing address

16 E 40TH ST FL 2
NEW YORK NY
10016-0134
US

V. Phone/Fax

Practice location:
  • Phone: 201-527-5514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BARON ISAAC KIM
Title or Position: PRESIDENT/PHYSICAL THERAPIST
Credential: DPT
Phone: 201-527-5514