Individual provider Active NPI

Hyo Kim

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1508921966
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7946 Issued in CO
Practice address
7374 S Alton Way Ste 103
Centennial, CO 80112
Phone
(303) 770-4170
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CO
Physical Therapist 225100000X 7946 CO Primary

Addresses

Primary practice location

7374 S Alton Way Ste 103
Centennial, CO 80112

Mailing address

7374 S Alton Way Ste 103
Centennial, CO 80112-2368
Phone (303) 770-4170

Other practice location 1

8775 E Orchard Rd Ste 810
Greenwood Village, CO 80111-5010
Phone (303) 770-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000112 CO Practitioner - Physical Therapist in Private Practice 4789646662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7374 S Alton Way
Suite 103
Centennial, CO 80112-2368
Phone (303) 770-4170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
7946COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sports Health LLC Single Specialty CurrentSince Mar 1, 2009 Accepting new patients
Greenwood Physical Therapy&Acupuncture, Inc Physical Therapist Past Accepting new patients
Shao Acupuncture&Physical Therapy, Inc Single Specialty PastSince Sep 22, 2004 Accepting new patients

Locations

7374 S Alton Way
Ste 103
Centennial, CO 80112
Phone (303) 397-7668

6030 Greenwood Plaza Blvd
Ste 110
Greenwood Village, CO 80111
Phone (303) 720-0603

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1508921966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7374 S ALTON WAY STE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122368",
            "telephone_number": "303-770-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 S ALTON WAY STE 103",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80112",
            "telephone_number": "303-770-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8775 E Orchard Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801115010",
            "country_code": "US",
            "telephone_number": "303-770-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.