Anne Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213009 Issued in VA

Practice address

10128 W Broad St
BLDG 3, Ste K
Glen Allen, VA 23060

Phone

(880) 421-7921

NPI assigned

Aug 27, 2019

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

Other names 1

• Da Sol Kim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1891343513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 MILLCREEK DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356742",
            "telephone_number": "571-218-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10128 W BROAD ST",
            "address_2": "BLDG 3, STE K",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "23060",
            "telephone_number": "880-421-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DA",
            "last_name": "KIM",
            "middle_name": "SOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Marshall Kenney
• Sybil Kettle, RBT
• Robel G Kidanemariam
• Kidmed Inc.
• Katelyn Kiley, LPC
• Ji Sun Kim
• Shantell Lipscomb Kinchen, RN
• Phyllis Ann King-Carr, MS
• Gabriana M King, M.A., CCC-SLP
• Elizabeth Blenk Kiniry

• Physical Therapist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.