KALLIE KIM OTR/L
NPI 1023440682
Occupational Therapist in Flagstaff, AZ

Active since August 06, 2013Accepts Medicare Assignment
3100 E BUTLER AVE, FLAGSTAFF, AZ 86004(785) 213-1894 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kallie Kim Otr/l NPPES

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

KALLIE KIM OTR/L (NPI 1023440682) is an individual occupational therapist in Flagstaff, Arizona, licensed in Arizona (OTH-008708) and active in the NPI registry since August 2013. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1023440682
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKALLIE KIMCredential: OTR/L
Location Address3100 E BUTLER AVEFlagstaff, AZ 86004-0008
Mailing Address1553 W Daydream DrFlagstaff, AZ 86001-7212 · (785) 213-1894
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2013
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1023440682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in AZ · OTH-008708
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3100 E BUTLER AVE, Flagstaff, AZ 86004

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

Kallie Kim Otr/l 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 ID2769912534
PECOS Enrollment IDI20250207003261

Other Providers at the Same Location NPPES

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

Occupational Therapist
3100 E BUTLER AVE
FLAGSTAFF, AZ 86004

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 Kallie Kim's NPI number?

The NPI number for Kallie Kim is 1023440682. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is Kallie Kim located?

Kallie Kim practices at 3100 E Butler Ave, Flagstaff, AZ 86004. The listed phone number is (785) 213-1894.

What is Kallie Kim's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kallie Kim enrolled in Medicare?

Yes. Kallie 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 Kallie Kim was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.