Active NPI
Gina Kim, PT, DPT, LMT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1164040838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017953
- Practice address
- 1496 Old Henderson Rd RM 7
Columbus, OH 43220-3614 - Phone
- (614) 353-1581
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.026213 | OH | |
| Physical Therapist | 225100000X | PT017953 | OH | Primary |
Addresses
Primary practice location
1496 Old Henderson Rd RM 7
Columbus, OH 43220-3614
Mailing address
580 Thorngate CT
Galloway, OH 43119-8324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017953 | OH | MD | Physical Therapist |
| 33.026213 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Back Physio LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Columbus, OH
- NPI 1023636792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1164040838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 THORNGATE CT",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431198324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1496 OLD HENDERSON RD RM 7",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432203614",
"telephone_number": "614-353-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "GINA",
"name_prefix": "Dr.",
"credential": "PT, DPT, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.026213",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.