Kevin Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291906 Issued in CA

Practice address

4115 South St
Lakewood, CA 90712-1043

Phone

(562) 408-1140

Fax

(562) 408-1141

NPI assigned

Feb 1, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Woo-Ming Medical Group, PC

  • General Practice Physician
  • Long Beach, CA
  • NPI 1205475738
  NPD
• April Lopez Chiropractic. a Professional Corporation

  • Rehabilitation Chiropractor
  • Orange, CA
  • NPI 1255452835
  NPD (past)
• Sohma Integrative Health Center Hoover Chiropractic Inc

  • Chiropractor
  • Long Beach, CA
  • NPI 1376941146
  NPD (past)

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658016000000",
    "number": "1861930646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121043",
            "telephone_number": "562-408-1140",
            "fax_number": "562-408-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121043",
            "telephone_number": "562-408-1140",
            "fax_number": "562-408-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4195 N Viking Way Ste F",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908081470",
            "country_code": "US",
            "telephone_number": "562-420-2112",
            "fax_number": "562-420-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-07-17",
        "certification_date": "2022-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "address_1": "4115 South St",
            "city": "Lakewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907121043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hibah Khan
• Haeyun Kim Lee
• Brandi Kim
• Jung Sun Sunny Kim, PH.D., BCBA
• Kenny Kim, DDS
• Man Kim
• Rachel Kim
• Rick Tae Kim, DDS
• Sylvia Kim, PHARM.D.
• Kevin Chen-Huan Kin, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.