Dean Euijeong Kim, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60595829 Issued in WA

Practice address

Rehabilitation Therapies
914 S. Scheuber Rd
Centralia, WA 98531

Phone

(360) 330-8720

Fax

(360) 330-8737

NPI assigned

Jul 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1144706698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REHABILITATION THERAPIES",
            "address_2": "914 S. SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REHABILITATION THERAPIES",
            "address_2": "914 S. SCHEUBER RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "98531",
            "telephone_number": "360-330-8720",
            "fax_number": "360-330-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DEAN",
        "middle_name": "EUIJEONG",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60595829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE NUMBER",
            "identifier": "KIME178CZ",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Ketchum
• Keysar Center of Massage for the Medically Fragile
• Kids Dental of Centralia, P.C.
• Xander Min Joon Kiefel
• Andrew J Kim I
• Diana Bella Kim, PHARMD
• Jeongmin Kim
• Youngsoo Kim
• Aimee King
• James Patrick King, D.D.S.

• Occupational Therapist in Centralia, WA
• Providers in Centralia, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.