DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) – Orthopedic Physical Therapist, NPI 1629233234

DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) is a healthcare provider. based in Lancaster, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT,DPT,OCS,CSCS. They hold a License No. 27406 (CA). The NPI Number for DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) is 1629233234

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS)
NPI
1629233234
Phone
(661) 942-2202
Address
PO BOX 5203
Enumeration Date
23 July 2008
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6619422202
Graduation Year
2001 (25 years ago)
PAC ID
8325109721
Group Practice PAC ID
3375604788
Professional Enrollment ID
I20081203000855
Address ID
CA935347000LA42301WXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS)

  • PO BOX 5203

    LANCASTER, CA 93539

    Phone: (661) 942-2202

    Fax: (661) 942-2203

    Type: Mailing

  • 42301, 10th Street West, Lancaster, Los Angeles County, California, 93534, United States

    LANCASTER, CA 935347000

    Phone: (661) 942-2202

    Fax: (661) 942-2203

    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: 2008-12-03

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
I20081203000855IPhysical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,491139$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,274143$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes63437$0
97530Therapy procedure using functional activities14127$0
97162Evaluation for physical therapy, typically 30 minutes108103$0
View full utilization report →

Insurance plans in this area (ZIP 93539)

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Provider's Procedures

DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1572157

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: 3375604788View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What number should I use to identify DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) for billing?
Administrative and clinical systems typically use NPI 1629233234 for DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS).
Quick check: is DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) active?
Public NPPES data shows DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) with an active NPI status right now.
What does the directory say DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) does?
Insurance directories may phrase it differently, but here DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) maps to Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS)?
The directory associates DR. YOUNGHOON KIM (PT,DPT,OCS,CSCS) with Lancaster, California. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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