Active NPI
Katrina Hyunsook Kim, PT, DPT
- Physical Therapist
- Hemet, CA
National Provider Identifier
1003398686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295462
- Practice address
- 3989 W Stetson Ave Ste 105
Hemet, CA 92545-9697 - Phone
- (951) 652-3334
- Fax
- (951) 652-3335
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295462 | CA | Primary |
Addresses
Primary practice location
3989 W Stetson Ave Ste 105
Hemet, CA 92545-9697
Mailing address
25559 Orange Crest Way
Loma Linda, CA 92354-3733
Phone (909) 725-8977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1003398686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25559 ORANGE CREST WAY",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543733",
"telephone_number": "909-725-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3989 W STETSON AVE STE 105",
"city": "HEMET",
"state": "CA",
"postal_code": "925459697",
"telephone_number": "951-652-3334",
"fax_number": "951-652-3335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KATRINA",
"middle_name": "HYUNSOOK",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.