JUNE KIM – Physical Therapist, NPI 1023982030

JUNE KIM is a healthcare provider. based in Waltham, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 88811 (MA). The NPI Number for JUNE KIM is 1023982030

Main info

Organization
1 Year Of Experience
Accepts Medicare Assignment
Name
JUNE KIM
NPI
1023982030
Phone
Not provided
Address
54 WADSWORTH AVE
Enumeration Date
2 October 2025
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8574441020
Graduation Year
2025 (1 year ago)
PAC ID
7810486750
Group Practice PAC ID
3779554738
Professional Enrollment ID
I20251030001821
Address ID
MA024814922WE276XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for JUNE KIM

  • 54 WADSWORTH AVE

    WALTHAM, MA 024535021

    Phone:

    Type: Mailing

  • 276 WASHINGTON ST

    WELLESLEY, MA 024814922

    Phone: (857) 444-1020

    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: 2025-10-30

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
I20251030001821IPhysical Therapist In Private PracticeMATBD

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 02453)

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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: 3779554738View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the registry number for JUNE KIM?
The registry entry for JUNE KIM shows NPI 1023982030.
Quick check: is JUNE KIM active?
Public NPPES data shows JUNE KIM with an active NPI status right now.
What type of care does JUNE KIM provide?
JUNE KIM's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUNE KIM?
JUNE KIM is associated with Waltham, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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