Tae Goon Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

9107 Milwaukee Ave
Lubbock, TX 79424-0921

Phone

(806) 687-4311

Fax

(806) 687-4313

NPI assigned

Aug 15, 2024

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McCombs and Associates Physical Therapy IncGroup PAC ID 8729145412, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• McCombs and Associates Physical Therapy, Inc.

  • Physical Therapist
  • Lubbock, TX
  • NPI 1326166042
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1194557579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240921",
            "telephone_number": "806-687-4311",
            "fax_number": "806-687-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240921",
            "telephone_number": "806-687-4311",
            "fax_number": "806-687-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Avenue G",
            "address_purpose": "LOCATION",
            "city": "Levelland",
            "state": "TX",
            "postal_code": "793363719",
            "country_code": "US",
            "telephone_number": "806-897-0540",
            "fax_number": "806-897-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE GOON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Kim, PHARMD
• Nicole Kim, D.M.D., M.S.D.
• Samuel Kim, MD
• Sarah Ann Long Kim, PHD, LPC-S
• Soozee Kim
• Ruth Kimani
• Thomas Griff Kimball, PH.D.
• Gary Lee Kimbley, EDD
• Agyingi Kimbong, MD
• Landi Harper Kime

• Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.