Active NPI
Bora Kim
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1265904700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 835 Herkimer St
Brooklyn, NY 11233-3031 - Phone
- (718) 221-2600
- NPI assigned
- Dec 21, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
835 Herkimer St
Brooklyn, NY 11233-3031
Mailing address
835 Herkimer St
Brooklyn, NY 11233-3031
Other practice location 1
85 Montrose Ave Apt 3R
Brooklyn, NY 11206-2589
Phone (253) 508-2268
Other practice location 2
1312 Caton Ave
Brooklyn, NY 11226-1002
Phone (253) 508-2268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1265904700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 HERKIMER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112333031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 HERKIMER ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112333031",
"telephone_number": "718-221-2600"
}
],
"practiceLocations": [
{
"address_1": "85 Montrose Ave Apt 3R",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112062589",
"country_code": "US",
"telephone_number": "253-508-2268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1312 Caton Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112261002",
"country_code": "US",
"telephone_number": "253-508-2268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-21",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.