Abraham Kim, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23454 Issued in CA

Practice address

1155 Via Verde
San Dimas, CA 91773-4428

Phone

(909) 324-3698

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adp of San Dimas, LLC

  • Assisted Living Facility
  • San Dimas, CA
  • NPI 1326933854
  NPD
• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD (past)
• Adaptive Rehabilitation Clinics, LLC

  • Physical Therapist
  • Niles, OH
  • NPI 1568085579

  Occupational Therapist

  NPD (past)
• Af Therapy Clinic, LLC

  • Speech-Language Pathologist
  • Middleburg Heights, OH
  • NPI 1609540228
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1356076095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277021806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 VIA VERDE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734428",
            "telephone_number": "909-324-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ABRAHAM",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn a. Perry, D.O., Inc.
• Kavitha Kotrappa M D Inc
• Mohamed Ihsan Kayali, D.D.S.
• Mohammed Walid Khalife, M.D.
• Jessica Kiesendahl, MFT
• Brina Kim
• Crystal Kim, RPH
• Jessie Kim
• Joanne Jae Kim
• Young Mi Kim, L.AC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.