Active NPI
Hong C Kim, RPT
- Physical Therapist
- San Jose, CA
National Provider Identifier
1114105491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 18716
- Practice address
- 992 S de Anza Blvd
Suite 103
San Jose, CA 95129-2777 - Phone
- (408) 252-7575
- Fax
- (408) 252-7577
- NPI assigned
- Feb 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | PT 18716 | CA | Primary |
Addresses
Primary practice location
992 S de Anza Blvd
Suite 103
San Jose, CA 95129-2777
Mailing address
992 S de Anza Blvd
Suite 103
San Jose, CA 95129-2777
Phone (408) 252-7575
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 18716 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1114105491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "992 S DE ANZA BLVD",
"address_2": "SUITE 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292777",
"telephone_number": "408-252-7575",
"fax_number": "408-252-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 S DE ANZA BLVD",
"address_2": "SUITE 103",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951292777",
"telephone_number": "408-252-7575",
"fax_number": "408-252-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HONG",
"middle_name": "C",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-08",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 18716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.