JK Prorehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42303 Issued in CA

Legal business name

JK PROREHAB INC

Practice address

18331 Gridley Rd Ste Candd
Cerritos, CA 90703-5438

Phone

(562) 317-4800

Fax

(562) 317-4801

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Sung Jin Kim, PT

Title

President / PT

Phone

(562) 317-4800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1255831285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD STE C&D",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-317-4800",
            "fax_number": "562-317-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18331 GRIDLEY RD STE CANDD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907035438",
            "telephone_number": "562-317-4800",
            "fax_number": "562-317-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK PROREHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT / PT",
        "authorized_official_telephone_number": "562-317-4800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jimenez Farias
• Eduardo Jimenez
• Esther Jimenez
• Calvin Jin
• Jirawan Srivivatanakul D.D.S., Inc.
• Daniel James Jo, DDS
• Joa Acupuncture Inc
• Angela Joelle, M.S., CCC-SLP
• Anne C Johansen, PHD MFCC
• Ian Thomas Johansen, PH.D.

• Physical Therapist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.