HWIMIN KIM – Physical Therapist, NPI 1245064625

HWIMIN KIM is a healthcare provider. based in Anaheim, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 306777 (CA). The NPI Number for HWIMIN KIM is 1245064625

Main info

Female
2 Years Of Experience
Name
HWIMIN KIM
NPI
1245064625
Phone
Not provided
Address
1360 N MARINER WAY
Enumeration Date
28 August 2024
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2138982673
Graduation Year
2024 (2 years ago)
PAC ID
2264964782
Group Practice PAC ID
9133650427
Professional Enrollment ID
I20241022001262
Address ID
CA920114602CA7188XENCI301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for HWIMIN KIM

  • 1360 N MARINER WAY

    ANAHEIM, CA 928017703

    Phone:

    Type: Mailing

  • 11980 SAN VICENTE BLVD STE 100

    LOS ANGELES, CA 900496602

    Phone: (310) 479-2323

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241022001262IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133650427View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify HWIMIN KIM with an NPI only?
You can start verification with NPI 1245064625 for HWIMIN KIM, then check state licensing separately.
Can I rely on HWIMIN KIM being an active provider?
As of the registry snapshot, HWIMIN KIM is marked active.
What is HWIMIN KIM's specialty?
The listing groups HWIMIN KIM with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect HWIMIN KIM on a map?
Expect Anaheim, California as a primary anchor for HWIMIN KIM unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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