MEILANI KIM (OT) – Occupational Therapist, NPI 1790462745

MEILANI KIM (OT) is a healthcare provider. based in Lakewood, Washington. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT61438456 (WA). The NPI Number for MEILANI KIM (OT) is 1790462745

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MEILANI KIM (OT)
NPI
1790462745
Phone
(253) 625-7657
Address
7308 BRIDGEPORT WAY W STE 203
Enumeration Date
30 June 2023
Last Update Date
30 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253687943
Graduation Year
2021 (5 years ago)
PAC ID
5991153827
Group Practice PAC ID
4284891656
Professional Enrollment ID
I20231201002839
Address ID
WA980365700LY19221WXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MEILANI KIM (OT)

  • 7308 BRIDGEPORT WAY W STE 203

    LAKEWOOD, WA 984998000

    Phone: (253) 625-7657

    Fax: (253) 625-7477

    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: 2023-12-01

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
I20231201002839IOccupational 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9918$0
97140Therapy procedure using manual technique, each 15 minutes5515$0
97530Therapy procedure using functional activities3013$0
97166Evaluation for occupational therapy, typically 45 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 98499)

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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: 4284891656View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
-WA
-WA
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Can I cross-check MEILANI KIM (OT) using NPI 1790462745?
NPI 1790462745 belongs to MEILANI KIM (OT); compare other details if you need extra assurance.
Is MEILANI KIM (OT) shown as active in public data?
Registry records indicate MEILANI KIM (OT) maintains an active NPI.
What expertise is attributed to MEILANI KIM (OT)?
MEILANI KIM (OT)'s specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Washington is MEILANI KIM (OT) registered?
Use Lakewood, Washington as the headline location for MEILANI KIM (OT) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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