Individual provider Active NPI

Hyerim Kim, PT, DPT.

  • Orthopedic Physical Therapist
  • West Jordan, UT
National Provider Identifier
1295514404
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
134010882401 Issued in UT
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

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250128001158 UT Practitioner - Physical Therapist in Private Practice 4587193172 Reassigns benefits to 1 organization
I20250903001659 IL Practitioner - Physical Therapist in Private Practice 4587193172 Reassigns benefits to 1 organization

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
Andersonville Physical Therapy, SCGroup PAC ID 9133170731, 10 clinicians

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

LicenseStateTypeSpecialty
134010882401UTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andersonville Physical Therapy, SC Orthopedic CurrentSince Aug 22, 2025 Accepting new patients
Reborn Pelvic Health & Wellness Orthopedic CurrentSince Dec 1, 2024 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.

Verify at the official NPI Registry.