Sung H Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

33851 Issued in CA

Practice address

17207 Ventura Blvd Ste 4
Encino, CA 91316-4035

Phone

(818) 386-8070

Fax

(818) 386-8071

NPI assigned

Feb 11, 2008

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Base Training and Physical Therapy a California CorporationGroup PAC ID 5890913859, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

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.

• Base Training and Physical Therapy a California Corporation

  • Physical Therapist
  • Encino, CA
  • NPI 1972916609
  Medicare reassignment Care Compare group NPD Authorized official
• Ho Rehab Center, Inc

  • Orthopedic Physical Therapist
  • Tarzana, CA
  • NPI 1104852839
  NPD (past)
• Tolos Physical Therapy Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1457642571
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1770761983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17207 VENTURA BLVD STE 4",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164035",
            "telephone_number": "818-386-8070",
            "fax_number": "818-386-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17207 VENTURA BLVD STE 4",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164035",
            "telephone_number": "818-386-8070",
            "fax_number": "818-386-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Kim, MFT
• Dawny Kim
• Hyojin Kim, OTD, OTR/L
• Joseph Kihyon Kim, LAC OMD PHD
• Samuel Sungwon Kim, M.D.
• Young M Kim, LAC
• Kim's Acupuncture, Inc
• Kinder Hearts Home Health, Inc.
• Joshua E King
• Leslie Barbakoff King, MSW, LCSW

• Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.