Active NPI
Kim Vonk
- Hand Occupational Therapist
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- Practice address
- 5905 Severin Dr.
La Mesa, CA 91942-3806 - Phone
- (619) 589-2606
- NPI assigned
- Jan 6, 2021
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | NU | Primary |
Addresses
Primary practice location
5905 Severin Dr.
La Mesa, CA 91942-3806
Mailing address
5810 Amaya Dr Apt 17D
La Mesa, CA 91942-4140
Phone (619) 339-7368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5905 Severin Dr
La Mesa, CA 91942-3806
Phone (619) 589-2606
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eggleton & Langton Physical Therapy Management Services | Current | Accepting new patients | |
| Eggleton Langton Physical Therapy Management Services | Past | Accepting new patients | |
| Eggleton & Langton Physical Therapy Management Services | Past | Accepting new patients |
Locations
5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Physical Therapist
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- NPI 1932152063
-
dba PRN Desert Rehabilitation Institute
- Physical Therapist
- Calexico, CA
- NPI 1851347686
-
- Physical Therapist
- Chula Vista, CA
- NPI 1225084056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1235727132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5810 AMAYA DR APT 17D",
"city": "LA MESA",
"state": "CA",
"postal_code": "919424140",
"telephone_number": "619-339-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5905 SEVERIN DR.",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423806",
"telephone_number": "619-589-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONK",
"first_name": "KIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.