RYAN KIM (DPT) – Physical Therapist, NPI 1215524632

RYAN KIM (DPT) is a healthcare provider. based in Natick, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 24990 (MA). The NPI Number for RYAN KIM (DPT) is 1215524632

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RYAN KIM (DPT)
NPI
1215524632
Phone
(508) 653-6000
Address
4 WETHERSFIELD RD # 8
Enumeration Date
31 December 2020
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086536000
Graduation Year
2020 (6 years ago)
PAC ID
7416360748
Group Practice PAC ID
8123499175
Professional Enrollment ID
I20210106000786
Address ID
MA017601770NA4XXXXRDXX301
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

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for RYAN KIM (DPT)

  • 4 WETHERSFIELD RD # 8

    NATICK, MA 017601770

    Phone: (508) 653-6000

    Type: Mailing

  • 703 GRANITE ST STE 3

    BRAINTREE, MA 021845350

    Phone: (781) 961-3370

    Fax: (781) 961-1291

    Type: Mailing

  • 22 Mill St Ste 406

    Arlington, MA 024764744

    Phone: (781) 646-8440

    Fax: (781) 643-7542

    Type: Location

  • 22 MILL ST STE 406

    ARLINGTON, MA 024764744

    Phone: (781) 646-8440

    Fax: (781) 643-7542

    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: 2021-01-06

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
I20210106000786IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes51136$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45136$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes22225$0
97530Therapy procedure using functional activities16632$0
97161Evaluation for physical therapy, typically 20 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 01760)

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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: 8123499175View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What unique ID ties claims to RYAN KIM (DPT)?
NPI 1215524632 is assigned to RYAN KIM (DPT) under the national enumeration system.
Is RYAN KIM (DPT)'s NPI currently valid?
The extract we use shows RYAN KIM (DPT) as active.
What field does RYAN KIM (DPT) work in?
You can think of RYAN KIM (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does RYAN KIM (DPT) practice in Massachusetts?
You will see Natick, Massachusetts on file for RYAN KIM (DPT) alongside any extra practice locations.
How can I contact RYAN KIM (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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