LORENZ KIM – Physical Therapist, NPI 1760098016

LORENZ KIM is a healthcare provider. based in San marino, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT298746 (CA). The NPI Number for LORENZ KIM is 1760098016

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LORENZ KIM
NPI
1760098016
Phone
Not provided
Address
1797 OAK GROVE AVE
Enumeration Date
22 September 2020
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6262940070
Graduation Year
2020 (6 years ago)
PAC ID
8325455157
Group Practice PAC ID
6709854508
Professional Enrollment ID
I20210323002707
Address ID
CA910063114AR253XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for LORENZ KIM

  • 1797 OAK GROVE AVE

    SAN MARINO, CA 911081112

    Phone:

    Mailing address matches the actual address.

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: 2021-03-23

PECOS data refreshed: 2026-06-15

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
I20210323002707IPhysical 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 91108)

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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: 6709854508View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for LORENZ KIM in the U.S.?
In the U.S., LORENZ KIM is identified by NPI 1760098016.
Does the public listing show LORENZ KIM as active?
LORENZ KIM's NPI record reflects an active status in NPPES.
What type of care does LORENZ KIM provide?
LORENZ KIM's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to LORENZ KIM?
The directory associates LORENZ KIM with San Marino, California. Check all listed addresses for suites or satellite offices.
Who maintains LORENZ KIM's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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