Active NPI
Megan Kim, PT
- Physical Therapist
- Sunrise, FL
National Provider Identifier
1881054427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28475
- Practice address
- 9463 NW 42ND St
Sunrise, FL 33351-7631 - Phone
- (813) 294-0180
- NPI assigned
- Feb 24, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28475 | FL | Primary |
Addresses
Primary practice location
9463 NW 42ND St
Sunrise, FL 33351-7631
Mailing address
9463 NW 42ND St
Sunrise, FL 33351-7631
Phone (813) 294-0180
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28475 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Davie, FL
- NPI 1770722282
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1881054427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9463 NW 42ND ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333517631",
"telephone_number": "813-294-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9463 NW 42ND ST",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333517631",
"telephone_number": "813-294-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MEGAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-24",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.