Stephen J Kim, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT301232 Issued in CA

Practice address

15141 Whittier Blvd Ste 100
Whittier, CA 90603-2156

Phone

(562) 945-1587

Fax

(562) 696-9687

NPI assigned

Oct 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CJ Physiotherapy IncGroup PAC ID 1153649264, 4 clinicians

Professional Physical Therapy Associates IncGroup PAC ID 8527072339, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.23 of 100Reported as group

Quality

80.38

Improvement activities

40

Cost

80.25

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• CJ Physiotherapy Inc

  • Physical Therapist
  • Tustin, CA
  • NPI 1639569312
  Medicare reassignment Care Compare group
• Professional Physical Therapy Associates, Inc.

  • Physical Therapist
  • Whittier, CA
  • NPI 1184725699
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1972266096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD STE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032156",
            "telephone_number": "562-945-1587",
            "fax_number": "562-696-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15141 WHITTIER BLVD STE 100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032156",
            "telephone_number": "562-945-1587",
            "fax_number": "562-696-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Kim
• Rachel Dahye Kim
• Sallie Hehseon Kim, A.C.
• Samuel Kim, M.D.
• Sara Kim
• Susie Kim
• Tracey Shin Kim, MD
• Kindspace LLC
• Brittany King, PA-C
• Crystal Kathleen King, OTR/L

• Physical Therapist in Whittier, CA
• Providers in Whittier, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.