Individual provider Active NPI

Sarah Kim

  • Hand Occupational Therapist
  • Kenmore, WA
National Provider Identifier
1205449642
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT61370220 Issued in WA
Practice address
18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835
Phone
(425) 686-6760
Fax
(425) 686-6763
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20529 CA
Hand Occupational Therapist 225XH1200X 20529 CA
Hand Occupational Therapist 225XH1200X OT61370220 WA Primary

Addresses

Primary practice location

18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835

Mailing address

632 S Cloverdale Ave Apt 104
Los Angeles, CA 90036-4130

Other practice location 1

12039 NE 128th St Ste 200
Kirkland, WA 98034-3029
Phone (425) 899-1960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926000306 NY Practitioner - Occupational Therapist in Private Practice 9830518711 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20529CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Jul 10, 2025 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Occupational Therapist CurrentSince Jul 10, 2025 Accepting new patients
Empire State Occupational Therapy PC Occupational Therapist Past Accepting new patients
Select CS Physical Therapy, P.C. Occupational Therapist Past Accepting new patients

Locations

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 4

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1205449642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 S CLOVERDALE AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 68TH AVE NE STE 100",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282835",
            "telephone_number": "425-686-6760",
            "fax_number": "425-686-6763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12039 NE 128th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343029",
            "country_code": "US",
            "telephone_number": "425-899-1960",
            "fax_number": "425-899-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20529",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "20529",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT61370220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.