SERIN KIM (DPT) – Physical Therapist, NPI 1023626033

SERIN KIM (DPT) is a healthcare provider. based in Eagle, Idaho. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. PT-6734 (ID). The NPI Number for SERIN KIM (DPT) is 1023626033

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SERIN KIM (DPT)
NPI
1023626033
Phone
Not provided
Address
1311 E PROHASKA ST
Enumeration Date
15 July 2020
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082973039
Graduation Year
2020 (6 years ago)
PAC ID
1052737566
Group Practice PAC ID
6406114131
Professional Enrollment ID
I20200814000750
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

Provider Addresses for SERIN KIM (DPT)

  • 1311 E PROHASKA ST

    EAGLE, ID 836166673

    Phone:

    Type: Mailing

  • 77 N FISHER PARK WAY

    EAGLE, ID 836164796

    Phone: (208) 297-3039

    Fax: (208) 416-6635

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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

Medicare Utilization (FFS)

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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 83616)

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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: 6406114131View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeSD
-IL
-WY
-ND
-ND
Physical Therapist In Private PracticeSD
-OR
-SD
-ND
Physical Therapist In Private PracticeSD

Reviews

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Frequently asked questions

Can I verify SERIN KIM (DPT) with an NPI only?
You can start verification with NPI 1023626033 for SERIN KIM (DPT), then check state licensing separately.
Is SERIN KIM (DPT) listed as active for patients and plans?
The listing shows SERIN KIM (DPT) as active in the NPI system.
What is SERIN KIM (DPT) best known for clinically?
Directory data describes SERIN KIM (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does SERIN KIM (DPT) serve?
SERIN KIM (DPT)'s listing highlights Eagle, Idaho; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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