Individual provider Active NPI

Julia Rhee Kim, MPT

  • Physical Therapist
  • Westminster, CA
National Provider Identifier
1114234572
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36918 Issued in CA
Practice address
7631 Wyoming St Ste 107
Westminster, CA 92683-3904
Phone
(714) 373-4555
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36918 CA Primary

Addresses

Primary practice location

7631 Wyoming St Ste 107
Westminster, CA 92683-3904

Mailing address

1902 Royalty Dr
Pomona, CA 91767-3030

Other practice location 1

1902 Royalty Dr
Pomona, CA 91767-3030
Phone (909) 620-9700

Other practice location 2

12555 Garden Grove Blvd Ste 406
Garden Grove, CA 92843-1904
Phone (714) 373-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000392 CA Practitioner - Physical Therapist in Private Practice 7113173220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trieu T Tran MD IncGroup PAC ID 6305869868, 2 clinicians
Oc Rehab a Medical Group, IncGroup PAC ID 4284029992, 2 clinicians

Practice addresses (Care Compare)

15191 Beach Blvd
Westminster, CA 92683-6203
Phone (714) 893-6008

15201 Beach Blvd
Suite a
Westminster, CA 92683-6243
Phone (714) 373-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36918CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Able Physical Therapy Corp Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients
Oc Rehab a Medical Group Inc. Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1535 Deerpark Dr
Fullerton, CA 92831
Phone (714) 993-3222

12555 Garden Grove Blvd
Ste 406
Garden Grove, CA 92843
Phone (714) 373-4555

1902 Royalty Dr
#170
Pomona, CA 91767
Phone (909) 620-9700

7631 Wyoming St
Ste 107
Westminster, CA 92683
Phone (714) 373-4555

15201 Beach Blvd
Ste A
Westminster, CA 92683
Phone (714) 373-4555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1114234572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 WYOMING ST STE 107",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833904",
            "telephone_number": "714-373-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 Royalty Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673030",
            "country_code": "US",
            "telephone_number": "909-620-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12555 Garden Grove Blvd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928431904",
            "country_code": "US",
            "telephone_number": "714-373-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JULIA",
        "middle_name": "RHEE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.