Active NPI
John Kim, PT, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020999
- Practice address
- 225 S Sangamon St
Chicago, IL 60607-3196 - Phone
- (312) 243-9350
- NPI assigned
- Aug 29, 2014
- Last updated
- Aug 29, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020999 | IL | Primary |
Addresses
Primary practice location
225 S Sangamon St
Chicago, IL 60607-3196
Mailing address
225 S Sangamon St
Chicago, IL 60607-3196
Phone (312) 243-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Robert York Ave
Deerfield, IL 60015-4343
Phone (312) 720-6784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| React Physical Therapy LLC | Current | Accepting new patients |
Locations
1520 N Dayton St
Chicago, IL 60642
Phone (312) 380-1822
225 S Sangamon St
Ste 1
Chicago, IL 60607
Phone (312) 243-9350
333 E Benton Pl
Ste 108
Chicago, IL 60601
Phone (312) 929-3646
710 Robert York Ave
Deerfield, IL 60015
Phone (312) 720-6784
1215 Washington Ave
Wilmette, IL 60091
Phone (312) 213-8802
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1306021241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1649670480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S SANGAMON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073196",
"telephone_number": "312-243-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S SANGAMON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073196",
"telephone_number": "312-243-9350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOHN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.