Individual provider Active NPI

Brittany Lynn Kim, DPT

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1952778730
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42944 Issued in CA
Practice address
2901 Wilshire Blvd Ste 440
Santa Monica, CA 90403-4913
Phone
(310) 315-9711
Fax
(310) 315-9349
NPI assigned
Aug 27, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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 42944 CA Primary

Addresses

Primary practice location

2901 Wilshire Blvd Ste 440
Santa Monica, CA 90403-4913

Mailing address

1433 S Genesee Ave
Santa Monica, CA 90403-4913
Phone (310) 315-9711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929002314 CA Practitioner - Physical Therapist in Private Practice 9133437809 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 clinicians

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 640
Los Angeles, CA 90064-1525
Phone (310) 433-0369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, Inc Physical Therapist CurrentSince Mar 1, 2017 Accepting new patients
Re Active Physical Therapy and Wellness CurrentSince Jun 1, 2018 Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients

Locations

415 N Crescent Dr
Ste 130
Beverly Hills, CA 90210
Phone (310) 237-0877

11500 W Olympic Blvd
Ste 640
Los Angeles, CA 90064
Phone (310) 433-0369

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

3848 W Carson St
Ste 110
Torrance, CA 90503
Phone (424) 225-1845

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

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, 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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1952778730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 S GENESEE AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034913",
            "telephone_number": "310-315-9711",
            "fax_number": "310-315-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WILSHIRE BLVD STE 440",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034913",
            "telephone_number": "310-315-9711",
            "fax_number": "310-315-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.