Jeongho Kim, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021834 Issued in IL

Practice address

1052 S Elmhurst Rd
Mount Prospect, IL 60056-4240

Phone

(847) 439-9100

NPI assigned

Feb 3, 2016

Last updated

Feb 11, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Pain & Rehab Inc

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1487124988

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Jeong Ho Kim Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1174061907
  Authorized official Same address or phone
• Ez Spine and Joint Rehab Inc.

  • Physical Therapist
  • Northbrook, IL
  • NPI 1124809280
  NPD
• Motionfit Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1679160493

  Physical Therapist

  NPD

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1811355944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E BURR OAK DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561813",
            "telephone_number": "929-233-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 S ELMHURST RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "847-439-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEONGHO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033030",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheilendr Khipple, MD
• Philip J Kiley, M.D.
• Daniel Nile Kim
• Hannah Eunhee Kim, D.C.
• Ihn Kim, D.C.
• Jessica Kim
• Kimbrough Clarke DC Inc
• Kara Kinnear
• Nicole Kioussis, LCPC
• Kristina Klingbeil, DPT

• Physical Therapist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.