Nathaniel Kim
NPI 1962377168ActiveIndividual· Physical Therapist· East Brunswick, NJ
Physical Therapist with Mana Physical Therapy, practicing in East Brunswick, New Jersey. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1962377168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 7, 2025 |
| Last updated in NPPES | Oct 7, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA02372100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NJ) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Mana Physical TherapyLake Como, NJ · 9 clinicians
Other Physical Therapist providers in East Brunswick
- 1538956651
- 1790019867
- 1245091347
- 1376418160
- 1730138512
- 1437055126
- 1891140323
- 1982063160
- 1982415907
- 1700042819
- 1891278230
- 1306318092