JISUN KIM OTD, OTR/L
NPI 1093549438
Occupational Therapist in Brooklyn, NY
About Jisun Kim Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JISUN KIM OTD, OTR/L (NPI 1093549438) is an individual occupational therapist in Brooklyn, New York, licensed in Massachusetts (15397) and active in the NPI registry since August 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jisun Kim Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jisun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 446 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jisun Kim's NPI number?
The NPI number for Jisun Kim is 1093549438. It was assigned to this individual provider in the NPPES registry on August 28, 2024.
Where is Jisun Kim located?
Jisun Kim practices at 2579 Ocean Ave Fl 3, Brooklyn, NY 11229. The listed phone number is (646) 780-0926.
What is Jisun Kim's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jisun Kim enrolled in Medicare?
Yes. Jisun Kim is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jisun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jisun Kim reassigns Medicare benefits to New York Physical And Occupational Therapy Services, PLLC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jisun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jisun Kim was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.