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LEONARD KIM
NPI 1013801067
Physical Therapist - Orthopedic in Port Orange, FL

Active since June 04, 2025Accepts Medicare Assignment
1402 DUNLAWTON AVE STE 4D, PORT ORANGE, FL 32127(386) 671-2626 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Leonard Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEONARD KIM (NPI 1013801067) is an individual orthopedic provider in Port Orange, Florida and active in the NPI registry since June 2025. He is a graduate of Washington University School Of Medicine (2025).

NPPES Registry Identity

NPI1013801067
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameLEONARD KIM
Location Address1402 DUNLAWTON AVE STE 4DPort Orange, FL 32127-2918
Mailing Address3121 Caroline StSaint Louis, MO 63104-1205 · (636) 312-0785
Phone(386) 671-2626
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2025
Enumeration DateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1013801067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1402 DUNLAWTON AVE STE 4D, Port Orange, FL 32127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leonard Kim is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890202493
PECOS Enrollment IDI20250729001674

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFERY KYLE CLIFTON DC
Chiropractor
1402 DUNLAWTON AVE STE 4D
PORT ORANGE, FL 32127
Volusia County (386) 760-6150
ZACHARY NORRIS DPT
Physical Therapist
1402 DUNLAWTON AVE STE 4D
PORT ORANGE, FL 32127
Volusia County (386) 671-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Kim's NPI number?

The NPI number for Leonard Kim is 1013801067. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Leonard Kim located?

Leonard Kim practices at 1402 Dunlawton Ave Ste 4D, Port Orange, FL 32127. The listed phone number is (386) 671-2626.

What is Leonard Kim's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Leonard Kim enrolled in Medicare?

Yes. Leonard Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leonard Kim was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.