Saejin Kim, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20745 Issued in NC

Practice address

1927 Whakatane LN
Fuquay Varina, NC 27526-3838

Phone

(310) 850-6043

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duke University Health System, Inc.

  dba Duke University Hospital

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Activcare Physical Therapy, LLC

  dba Pivot Physical Therapy of Carolina

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Duke University Health System, Inc.

  dba Duke Home Infusion

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD
• Duke University Health System, Inc.

  dba Durham Regional Hospital

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1376574798
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1093484602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 WHAKATANE LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263838",
            "telephone_number": "310-850-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 WHAKATANE LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263838",
            "telephone_number": "310-850-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SAEJIN",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Kerwin
• Kidspeace National Centers of North America, Inc.
• Kidspeace National Centers of North America, Inc.
• Kidspeace National Centers of North America, Inc.
• Kidzcare Pediatrics, PC
• Thiongo Kimani
• Jillian Watlington Kindle, MA CCC-SLP
• Emily Brown King
• Joshua King
• Robert Lee King, LPC

• Physical Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.