Individual provider Active NPI

Isabella Hye Eun Kim

  • Occupational Therapist
  • Newark, DE
National Provider Identifier
1922719442
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15584 Issued in NC
Practice address
131 Continental Dr Ste 305
Newark, DE 19713-4324
Phone
(980) 285-8054
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15584 NC Primary

Addresses

Primary practice location

131 Continental Dr Ste 305
Newark, DE 19713-4324

Mailing address

131 Continental Dr Ste 305
Newark, DE 19713-4324
Phone (980) 285-8054

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15584NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Services, LLC CurrentSince Mar 12, 2024 Accepting new patients
Integrative Therapy Concepts PastSince Dec 1, 2022 Accepting new patients
Lolly Therapeutics, LLC Occupational Therapist PastSince Dec 1, 2022 Accepting new patients

Locations

225 Tals Rock Way
Ste 6
Cary, NC 27519
Phone (970) 729-2665

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1922719442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CONTINENTAL DR STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134324",
            "telephone_number": "980-285-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CONTINENTAL DR STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134324",
            "telephone_number": "980-285-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ISABELLA",
        "middle_name": "HYE EUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.