Individual provider Active NPI

Junsu Kim

  • Physical Therapist
  • Chelmsford, MA
National Provider Identifier
1932774684
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25477 Issued in MA
Practice address
228 Billerica Rd
Chelmsford, MA 01824-3604
Phone
(626) 267-8424
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25477 MA Primary

Addresses

Primary practice location

228 Billerica Rd
Chelmsford, MA 01824-3604

Mailing address

121 Plain Rd
Westford, MA 01886-1866
Phone (626) 267-8424

Other practice location 1

121 Plain Rd
Westford, MA 01886-1866
Phone (626) 267-8424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621002177 MA Practitioner - Physical Therapist in Private Practice 5597165043 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25477MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Mar 10, 2022 Accepting new patients
Atrius Health, Inc. CurrentSince Jul 12, 2021 Accepting new patients
Atrius Health, Inc. Physical Therapist Current Accepting new patients

Locations

101 Arch St
Fl 8
Boston, MA 02110
Phone (212) 287-4257

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

228 Billerica Rd
Chelmsford, MA 01824
Phone (978) 250-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1932774684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PLAIN RD",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018861866",
            "telephone_number": "626-267-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BILLERICA RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243604",
            "telephone_number": "626-267-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Plain Rd",
            "address_purpose": "LOCATION",
            "city": "Westford",
            "state": "MA",
            "postal_code": "018861866",
            "country_code": "US",
            "telephone_number": "626-267-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNSU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.