Jo Suzanne Kim, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 21327 Issued in CA

Practice address

18666 Park Meadow Lane
Huntington Beach, CA 92648-6663

Phone

(949) 932-2960

NPI assigned

Aug 18, 2009

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

Other names 1

• Jo S Rogers-Kim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1114159597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18666 PARK MEADOW LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18666 PARK MEADOW LANE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486663",
            "telephone_number": "949-932-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JO",
        "middle_name": "SUZANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "ROGERS-KIM",
            "middle_name": "S",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jane S Kim, M.D.
• Jason Young Kim, MD
• Jenna Seo Jiyeun Kim, NP
• Jennifer Kim, M.D.
• Jiwon Kim
• John J Kim, L.AC. MS
• Ju Yeon Kim
• Julie Kim, LAC
• Julie Cheon Kim, O.D.
• Jun Hyuk Kim

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.