John Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61565660 Issued in WA

Practice address

508 1St Ave N
Seattle, WA 98109-4522

Phone

(206) 895-7535

NPI assigned

Sep 17, 2024

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Virginia Commonwealth University, School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapydia California Physical Therapy P CGroup PAC ID 9638428097, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Therapydia California Physical Therapy, PC.

  • Physical Therapist
  • Vancouver, WA
  • NPI 1861957060
  Medicare reassignment Care Compare group NPD
• Active Seattle Physical Therapy, PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1649090176
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1295562973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 12TH AVE UNIT 504",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223989",
            "telephone_number": "571-359-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 1ST AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094522",
            "telephone_number": "206-895-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61565660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Eun Kim
• Jin-Young Kim, D.C.
• Jina Kyu Jin Kim, RN
• Jinna Kim, MD
• Joe Nam Ho Kim, DDS
• John Kim, DDS
• John J Kim, PT, DPT
• John Young Kim, MD
• Jong Hwan Kim, DC
• Joungouk Kim, MD

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.