Ty Kim, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT22821 Issued in CA

Practice address

9932 Kika CT Apt 3212
San Diego, CA 92129-5057

Phone

(831) 277-2109

NPI assigned

Jul 13, 2023

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

Other names 1

• Tahyo Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Chula Vista Elementary School District

  • Local Education Agency (LEA)
  • Chula Vista, CA
  • NPI 1306994470
  NPD

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1275212623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9932 KIKA CT APT 3212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295057",
            "telephone_number": "831-277-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9932 KIKA CT APT 3212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295057",
            "telephone_number": "831-277-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "TY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT22821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHYO",
            "last_name": "KIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taeyoung Kim
• Tania Kim
• Thomas Aquinas Kim, MD, PHD
• Tim Inchul Kim, M.D.
• Timothy Kim, MD
• Unhae Kim
• Whan Sil Kim, M.D.
• Yoe Jin Kim
• Yonoh Kim
• Young S Kim

• Occupational Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.