Active NPI
Gershom Jinhyun Kim, DPT
- Physical Therapist
- Spring, TX
National Provider Identifier
1679043202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1237746
- Practice address
- 500 Spring Hill Drive #120
Spring, TX 77386 - Phone
- (832) 413-1130
- NPI assigned
- Nov 27, 2018
- 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 | 1237746 | TX | Primary |
Addresses
Primary practice location
500 Spring Hill Drive #120
Spring, TX 77386
Mailing address
7600 Kirby Dr Apt 177
Houston, TX 77030
Phone (817) 271-4877
Other practice location 1
5805 Star Ln
houston, TX 77057
Phone (832) 413-1130
Other practice location 2
5360 FM 1960
Humble, TX 77346
Phone (832) 413-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1237746 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Spine and Sports Chiropractic Rehab PLLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Spring, TX
- NPI 1669941324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1679043202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 KIRBY DR APT 177",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "817-271-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SPRING HILL DRIVE #120",
"city": "SPRING",
"state": "TX",
"postal_code": "77386",
"telephone_number": "832-413-1130"
}
],
"practiceLocations": [
{
"address_1": "5805 Star Ln",
"address_purpose": "LOCATION",
"city": "houston",
"state": "TX",
"postal_code": "77057",
"country_code": "US",
"telephone_number": "832-413-1130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5360 FM 1960",
"address_purpose": "LOCATION",
"city": "Humble",
"state": "TX",
"postal_code": "77346",
"country_code": "US",
"telephone_number": "832-413-1130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "GERSHOM",
"middle_name": "JINHYUN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1237746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.