Suzanne Teresa Kim

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21044 Issued in NC

Practice address

150 Francam Dr Ste 124
Fayetteville, NC 28311-4500

Phone

(910) 229-3924

NPI assigned

Jul 11, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inner Coastal Plain - PT, LLC

  • Occupational Therapist
  • Fayetteville, NC
  • NPI 1740069533
  NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1811734346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 WINDING CREEK RD APT F",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055165",
            "telephone_number": "910-992-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FRANCAM DR STE 124",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283114500",
            "telephone_number": "910-229-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUZANNE",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "21044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Pryzgoda DDS PA
• Edward Kim, MD
• Jody Sook Kim, L.AC.,OMD
• Joonsung Kim
• Michael S. Kim, OTR/L
• Mary Simmons Kinder, MA; PLPC; PLCAS; ABD
• Kindred Care Therapy
• Kindred Spirit Counseling Services PLLC
• Carolyn Laura Kindred, LCMHC
• Canosha King McAllister

• Massage Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.