Mina Kim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205881 Issued in VA

Practice address

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000

Phone

(540) 373-4602

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Mary Washington Healthcare Physicians

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1295999852

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mary Washington Healthcare Physicians

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1740853035
  NPD
• Pathology Associates of Fredericksburg PTR

  • Anatomic Pathology Physician
  • Fredericksburg, VA
  • NPI 1033150982
  NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1093902777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 PERRY ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224012619",
            "telephone_number": "443-255-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FALL HILL AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013000",
            "telephone_number": "540-373-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Woodside Ct",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461098",
            "country_code": "US",
            "telephone_number": "410-312-9000",
            "fax_number": "410-312-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4710 Spotsylvania Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224079433",
            "country_code": "US",
            "telephone_number": "540-479-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Ashford Cir Apt 126",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015089",
            "country_code": "US",
            "telephone_number": "540-741-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541752",
            "country_code": "US",
            "telephone_number": "540-657-7134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9530 Cosner Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224087760",
            "country_code": "US",
            "telephone_number": "540-735-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Wellford St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013176",
            "country_code": "US",
            "telephone_number": "540-361-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "MINA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21506",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Dionne Kilpatrick, NP
• Aileen D Kim, MD
• Andrew Kim, M.D.
• Chang Hoon Kim
• Hae Seong Kim
• Myoung-Wook Kim, DDS
• Sean Kim, DO
• John W Kin, M.D.
• Kind Oasis Integrative Health
• Kindness Restored Mental Health Services PLLC

• Physical Therapist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.