Active NPI
Yoon Ja Kim, CMT
- Massage Therapist
- Annandale, VA
National Provider Identifier
1780908269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0019003098
- Practice address
- 7310 McWhorter PL Ste D
Annandale, VA 22003-5600 - Phone
- (703) 333-5121
- Fax
- (703) 537-0174
- NPI assigned
- Mar 26, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0019003098 | VA | Primary |
Addresses
Primary practice location
7310 McWhorter PL Ste D
Annandale, VA 22003-5600
Mailing address
4501 Guinea Rd
Annandale, VA 22003-3926
Phone (703) 930-1226
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 |
|---|---|---|---|
| 0019003098 | VA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1780908269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 GUINEA RD",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033926",
"telephone_number": "703-930-1226",
"fax_number": "703-537-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 MCWHORTER PL STE D",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220035600",
"telephone_number": "703-333-5121",
"fax_number": "703-537-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YOON",
"middle_name": "JA",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-26",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019003098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.