Kelly Baek Kim, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25909 Issued in CA

Practice address

7320 Firestone Blvd Ste 105
Downey, CA 90241-4159

Phone

(562) 927-5820

Fax

(562) 684-0102

NPI assigned

Feb 6, 2020

Last updated

Jan 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manale Rehabilitation Network IncGroup PAC ID 0749676138, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manale Rehabilitation Network Inc

  dba Manale Occupational & Physical Therapy

  • Physical Rehabilitation Occupational Therapist
  • Bellflower, CA
  • NPI 1639827686
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1447882592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17042 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065950",
            "telephone_number": "562-991-1324",
            "fax_number": "562-684-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 FIRESTONE BLVD STE 105",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414159",
            "telephone_number": "562-927-5820",
            "fax_number": "562-684-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KELLY",
        "middle_name": "BAEK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA5074",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kim, PHARM.D.
• Jiwon Kim
• Judong Kim, M.D.
• Karen Kim
• Kay Kyung H. Kim, MD
• Kelvin Kim, MD
• Mary Huey-Yu Kim
• Min Seok Kim, NP
• Nathan Jungwon Kim
• Peter T Kim, L.AC.

• Occupational Therapist in Downey, CA
• Providers in Downey, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.