Mie Hae Kim, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00190900 Issued in NJ

Practice address

1515 Lamberts Mill Rd
Westfield, NJ 07090-4763

Phone

(908) 233-9700

Fax

(908) 233-4266

NPI assigned

Feb 15, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1124391602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HARRISON AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672228",
            "telephone_number": "908-380-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAMBERTS MILL RD",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904763",
            "telephone_number": "908-233-9700",
            "fax_number": "908-233-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIE HAE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00190900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Ketterer
• Yuriy Khanin, M.D
• Megan Kieltyka, MS
• Jenna Anastasia Kiely
• Colleen Yoon Kim, PHARMD
• Kara E King, MSW,LCSW
• Tanya N King
• Jessica Garry Klaskin, PT, DPT
• Nicole Kleiman, MS
• Philip Klein, MD

• Physical Therapy Assistant in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.