JOHN KIM – Physical Therapist, NPI 1295562973

JOHN KIM is a healthcare provider. based in Seattle, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT61565660 (WA). The NPI Number for JOHN KIM is 1295562973

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOHN KIM
NPI
1295562973
Phone
(571) 359-9773
Address
1530 12TH AVE UNIT 504
Enumeration Date
17 September 2024
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
2068957535
Graduation Year
2024 (2 years ago)
PAC ID
6608308382
Group Practice PAC ID
9638428097
Professional Enrollment ID
I20241018002986
Address ID
WA981094522SE508XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for JOHN KIM

  • 1530 12TH AVE UNIT 504

    SEATTLE, WA 981223989

    Phone: (571) 359-9773

    Type: Mailing

  • 508 1ST AVE N

    SEATTLE, WA 981094522

    Phone: (206) 895-7535

    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: 2024-10-18

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
I20241018002986IPhysical Therapist In Private PracticeWATBD

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 98122)

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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: 9638428097View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR
-CA
-CA
-CA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does JOHN KIM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN KIM uses 1295562973.
Does CMS list JOHN KIM as active?
Yes — JOHN KIM is active in the NPI listing used on this page.
What is JOHN KIM best known for clinically?
Directory data describes JOHN KIM with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN KIM?
JOHN KIM's geographic hint is Seattle, Washington in our summary view.
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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