TAE GOON KIM DPT
NPI 1194557579
Physical Therapist in Lubbock, TX

Active since August 15, 2024Accepts Medicare Assignment
9107 MILWAUKEE AVE, LUBBOCK, TX 79424(806) 687-4311(806) 687-4313 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae Goon Kim Dpt NPPES

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

TAE GOON KIM DPT (NPI 1194557579) is an individual physical therapist in Lubbock, Texas and active in the NPI registry since August 2024. He maintains a secondary practice location in Levelland and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194557579
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTAE GOON KIMCredential: DPT
Location Address9107 MILWAUKEE AVELubbock, TX 79424-0921
Mailing Address9107 Milwaukee AveLubbock, TX 79424-0921 · (806) 687-4311 · Fax (806) 687-4313
Fax(806) 687-4313
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
NPI 1194557579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9107 MILWAUKEE AVE, Lubbock, TX 79424

Secondary Practice Location 1

Location 1410 Avenue GLevelland, TX 79336-3719 · Phone (806) 897-0540 · Fax (806) 897-0542

Accepted Insurance

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

Tae Goon Kim Dpt 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 ID4486193513
PECOS Enrollment IDI20240903002561

Areas of Expertise CMS Part B claims 3

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.

Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
251 services32 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
248 services33 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physical Therapist
9107 MILWAUKEE AVE
LUBBOCK, TX 79424
Physical Therapist (Orthopedic)
9107 MILWAUKEE AVE
LUBBOCK, TX 79424
Physical Therapist
9107 MILWAUKEE AVE
LUBBOCK, TX 79424
Physical Therapist
9107 MILWAUKEE AVE
LUBBOCK, TX 79424
Physical Therapist
9107 MILWAUKEE AVE
LUBBOCK, TX 79424
Physical Therapist
9107 MILWAUKEE AVE
LUBBOCK, TX 79424

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 Tae Goon Kim's NPI number?

The NPI number for Tae Goon Kim is 1194557579. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Tae Goon Kim located?

Tae Goon Kim practices at 9107 Milwaukee Ave, Lubbock, TX 79424. The listed phone number is (806) 687-4311.

What is Tae Goon Kim's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tae Goon Kim enrolled in Medicare?

Yes. Tae Goon 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.

What insurance does Tae Goon Kim accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tae Goon Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tae Goon Kim was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.