Individual provider Active NPI

Joyce Kim, DPT

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1164976775
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60656065 Issued in WA
Practice address
100 NE Gilman Blvd
Issaquah, WA 98027-2925
Phone
(425) 557-8000
Fax
(425) 557-8014
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 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 PT60656065 WA Primary

Addresses

Primary practice location

100 NE Gilman Blvd
Issaquah, WA 98027-2925

Mailing address

1100 9TH Ave
M4-PFS
Seattle, WA 98101-2756
Phone (206) 515-5811

Other practice location 1

22910 Bothell Everett Hwy
Suite 107
Bothell, WA 98021-9327
Phone (425) 686-7656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123002097 WA Practitioner - Physical Therapist in Private Practice 9739467036 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2930 Maple St
Everett, WA 98201-3832
Phone (425) 261-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 11, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 11, 2017 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Sep 7, 2016 Accepting new patients
Virginia Mason Medical Center CurrentSince Feb 5, 2021 Accepting new patients
Peak Sports and Spine Physical Therapy Lake City PS Physical Therapist CurrentSince Jan 17, 2017 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Sep 7, 2016 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Virginia Mason Medical Center Current Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

22910 Bothell Everett Hwy
Ste 107
Bothell, WA 98021
Phone (425) 686-7656

2930 Maple St
Everett, WA 98201
Phone (425) 261-1500

100 NE Gilman Blvd
Issaquah, WA 98027
Phone (425) 557-8000

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

1100 9th Ave
#M4
Seattle, WA 98101
Phone (206) 515-5811

11545 15th Ave NE
Ste 205
Seattle, WA 98125
Phone (206) 364-2010

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jkim187346@ghc.direct-ci.net

Organizations & group practices 9

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1164976775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "M4-PFS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-515-5811",
            "fax_number": "206-341-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE GILMAN BLVD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272925",
            "telephone_number": "425-557-8000",
            "fax_number": "425-557-8014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22910 Bothell Everett Hwy",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980219327",
            "country_code": "US",
            "telephone_number": "425-686-7656",
            "fax_number": "425-371-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOYCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60656065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.