Active NPI
Hyerim Kim, PT, DPT.
- Orthopedic Physical Therapist
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 134010882401
- Practice address
- 7611 S Jordan Landing Blvd # 130
West Jordan, UT 84084-5610 - Phone
- (801) 216-3117
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 134010882401 | UT | Primary |
Addresses
Primary practice location
7611 S Jordan Landing Blvd # 130
West Jordan, UT 84084-5610
Mailing address
10806 S Weiss Dr
South Jordan, UT 84009-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5414 N Broadway St
Chicago, IL 60640-1704
Phone (773) 907-3599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134010882401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andersonville Physical Therapy, SC | Orthopedic | Current | Accepting new patients |
| Reborn Pelvic Health & Wellness | Orthopedic | Current | Accepting new patients |
Locations
5414 N Broadway St
Chicago, IL 60640
Phone (773) 907-3599
1660 W Antelope Dr
Ste 225A
Layton, UT 84041
Phone (801) 702-8475
310 N 850 E
Ste D
Lehi, UT 84043
Phone (801) 216-3117
1815 N 1120 W
Provo, UT 84604
Phone (801) 702-8475
6040 S Fashion Blvd
Ste 101
Salt Lake City, UT 84107
Phone (801) 264-9595
7611 S Jordan Landing Blvd
Ste 130
West Jordan, UT 84084
Phone (801) 216-3117
7611 S Jordan Landing Blvd
#130
West Jordan, UT 84084
Phone (801) 216-3117
Organizations & group practices 2
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": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1295514404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10806 S WEISS DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840097748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD # 130",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845610",
"telephone_number": "801-216-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYERIM",
"credential": "PT, DPT.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "134010882401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.