Cherokee Yeonjae Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21239 Issued in NC

Practice address

1229 Toteros Dr
Waxhaw, NC 28173-6950

Phone

(704) 618-2300

Fax

(704) 843-9045

NPI assigned

Mar 16, 2022

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 NC

Enrollment records 1

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.

• Breakthrough Physical Therapy Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1558598532
  Medicare reassignment NPD
• Breakthrough Physical Therapy

  • Physical Therapist
  • Morehead City, NC
  • NPI 1083937692
  NPD (past)
• Milestone Therapy Inc

  • Occupational Therapist
  • Waxhaw, NC
  • NPI 1487824405

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1134877327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 TOTEROS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736950",
            "telephone_number": "704-618-2300",
            "fax_number": "704-843-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 TOTEROS DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281736950",
            "telephone_number": "704-618-2300",
            "fax_number": "704-843-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHEROKEE",
        "middle_name": "YEONJAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Terese Kewak, LPCA, NCC
• Richard Khang, PT, DPT
• Tsedal Beyene Kidane, RPH
• Michael Killian, PA-C
• Charlotte Kim
• Eugene J. Kim, MD
• Olivia Kitko
• Isabel Klich
• Jill Marie Kluczynski, OTR/L
• Katherine Bias Knight, MS, CCC-SLP

• Physical Therapist in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.