Active NPI
Tammy Sunjung Kim, COTA
- Occupational Therapy Assistant
- Waynesville, NC
National Provider Identifier
1942878459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 14170
- Practice address
- 1349 Crabtree Rd
Waynesville, NC 28785-7315 - Phone
- (828) 454-9260
- NPI assigned
- Jun 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 14170 | NC | Primary |
Addresses
Primary practice location
1349 Crabtree Rd
Waynesville, NC 28785-7315
Mailing address
847 Mountain View Dr
Maggie Valley, NC 28751-8863
Phone (951) 541-4388
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14170 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1942878459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 MOUNTAIN VIEW DR",
"city": "MAGGIE VALLEY",
"state": "NC",
"postal_code": "287518863",
"telephone_number": "951-541-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 CRABTREE RD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287857315",
"telephone_number": "828-454-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "TAMMY",
"middle_name": "SUNJUNG",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-12",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "14170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.