Fred Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28555 Issued in CA

Practice address

27762 Vista del Lago Ste a-1
Mission Viejo, CA 92692-1137

Phone

(949) 768-7500

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands on Physical Therapy, IncGroup PAC ID 3577548957, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hands on Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Rancho Santa Margarita, CA
  • NPI 1811037773
  Medicare reassignment Care Compare group
• Lakeside Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Mission Viejo, CA
  • NPI 1093945891
  Medicare reassignment Authorized official
• Coury & Buehler Physical Therapy, Inc.

  • Physical Therapist
  • Brea, CA
  • NPI 1790709194
  NPD (past)
• Deborah Weinstein Physical Therapy

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1881961258
  NPD (past)
• Grace Physical Therapy, Inc.

  • Specialist
  • Laguna Niguel, CA
  • NPI 1386668739
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1740366152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23216 STELLA CT",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305336",
            "telephone_number": "949-842-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27762 VISTA DEL LAGO STE A-1",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921137",
            "telephone_number": "949-768-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "FRED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kim, MD
• Daniel B. Kim, M.D.
• Daniel Youngjoo Kim
• Duke D Kim, MD
• Esther Kim
• Gina Kim
• Hyun Yil Henry Kim, DMD
• Janet Bonnie Kim, M.D.
• Jessica Y Kim, D.O.
• Joanne Yoo Kim, PA-C

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.