Lorenz Kim

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT298746 Issued in CA

Practice address

1797 Oak Grove Ave
San Marino, CA 91108-1112

Phone

(626) 372-1114

NPI assigned

Sep 22, 2020

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Edge Physical Therapy IncGroup PAC ID 6709854508, 6 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 and National Provider Directory roles.

• Physical Edge Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Arcadia, CA
  • NPI 1114988227

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Imperial Burbank Physical Therapy Inc

  • Physical Therapist
  • Burbank, CA
  • NPI 1336250992
  Medicare reassignment NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1760098016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 OAK GROVE AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 OAK GROVE AVE",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081112",
            "telephone_number": "626-372-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LORENZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karsol Group Inc
• Kennewick Radiology Group, PC
• Stephanie Keys, DOULA
• Ivan Kim, MD
• Janice Hyunjy Kim, L.AC.
• Douglas Krech, O.M.D., L.AC.
• Laboratory Corporation of America
• Sandy Yi-Shuan Lai, MD
• Victoria Lau
• Jamie J Law, PHARMD

• Physical Therapist in San Marino, CA
• Providers in San Marino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.