Organization Active NPI

Total Potential Physical Therapy: Wellness & Rehabilitation, PC

  • Physical Therapy Clinic/Center
  • San Marino, CA
National Provider Identifier
1679373252
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TOTAL POTENTIAL PHYSICAL THERAPY: WELLNESS & REHABILITATION, PC
Practice address
2060 Huntington Dr Ste 5
San Marino, CA 91108-2044
Phone
(424) 254-9273
NPI assigned
Mar 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Dr. Joel Kim, PT, DPT, CFMT, CST-TNPI 1255789764
Title
Owner
Phone
(424) 254-9273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2060 Huntington Dr Ste 5
San Marino, CA 91108-2044

Mailing address

713 W Duarte Rd # G242
Arcadia, CA 91007-7564

Other names 1

  • Total Potential Other name

National Provider Directory

National Provider Directory

Locations

713 W Duarte Rd
#G242
Arcadia, CA 91007

2060 Huntington Dr
Ste 5
San Marino, CA 91108
Phone (424) 254-9273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1679373252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD # G242",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HUNTINGTON DR STE 5",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082044",
            "telephone_number": "424-254-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL POTENTIAL PHYSICAL THERAPY: WELLNESS & REHABILITATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-254-9273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CFMT, CST-T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Potential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Marino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.