Susan Boksuk Kim, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

A02693 Issued in MD

Practice address

5215 W Cedar LN
Bethesda, MD 20814-1548

Phone

(301) 897-5500

NPI assigned

Oct 25, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1366919672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 FAIRBANKS LN",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217017615",
            "telephone_number": "301-471-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W CEDAR LN",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141548",
            "telephone_number": "301-897-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSAN",
        "middle_name": "BOKSUK",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A02693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Kim, PHARMD
• Min Jeong Kim, MD
• Myungjin Gloria Kim, M.D.
• Nayoung Kim, M.D.
• Sharon Joo-Ye Kim, DO
• Woomi Kim
• Youngjoon Kim
• Catherine Anne Kimball-Eayrs, MD
• Donna Toby Kimmel, PH.D,
• Heather Kimmitt, PAC

• Occupational Therapy Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.