Katherine Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60616935 Issued in WA

Practice address

2110 116TH Ave NE
Bellevue, WA 98004-3040

Phone

(206) 734-9033

NPI assigned

May 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT Wa LLCGroup PAC ID 0941715056, 9 clinicians

Sage Medical GroupGroup PAC ID 1759539836, 4 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.

• Fox Rehab PT Wa LLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1780474056
  Medicare reassignment Care Compare group NPD
• Sage Medical Group, PLLC

  dba SageMED

  • Naturopath
  • Bellevue, WA
  • NPI 1649551037
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1659809317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 154TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043040",
            "telephone_number": "206-734-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60616935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT60616935",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA, REGENCE, BLUE CROSS BLUE SHIELD",
            "identifier": "60616935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kim
• Ji Hun Kim, DO
• Julie Kim, DDS
• Jung Eun Kim, PHARMACIST
• Jung Ha Kim
• Keunhee (Casey) Kim, M.ED
• Leah Kim
• Linda B. Kim, MD
• Lisa C Kim, DDS
• Marshall Kim, N.P.

• Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.