Individual provider Active NPI

John Kim, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1649670480
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020999 Issued in IL
Practice address
225 S Sangamon St
Chicago, IL 60607-3196
Phone
(312) 243-9350
NPI assigned
Aug 29, 2014
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20141016000380 IL Practitioner - Physical Therapist in Private Practice 5193946101 Reassigns benefits to 1 organization

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
React Physical Therapy LLCGroup PAC ID 0143303982, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
React Physical Therapy LLC CurrentSince Aug 26, 2014 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.

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.

Verify at the official NPI Registry.