DR. JEMMA JIHYUN KIM PT, DPT
NPI 1275309916
Physical Therapist in Newark, DE
NPI Status: Active since December 04, 2023
Contact Information
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
Phone: (302) 831-8893
- Individual
- Female
- Years of Experience 3
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About JEMMA KIM
This page provides the complete NPI Profile along with additional information for Jemma Kim, a provider established in Newark, Delaware with a medical specialization in Physical Therapist and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1275309916 assigned on December 2023. The practitioner's primary taxonomy code is 225100000X with license number JI-0014763 (DE). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1275309916
- Provider Name
- DR. JEMMA JIHYUN KIM PT, DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 540 S COLLEGE AVE STE 160 NEWARK, DE 19713
- Location Phone
- (302) 831-8893
- Mailing Address
- 540 S COLLEGE AVE STE 160 NEWARK, DE 19713
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-04-2023
- Last Update Date
- 12-04-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- JI-0014763
- License State
- DE
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jemma Kim is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3375993801
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231227000187
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 for a new patient copayment and $17.79 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19713 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.19
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $17.79
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JEMMA JIHYUN KIM PT, DPT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 3 | 0 | 9 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 6 | 0 | 18 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 6 + 0 + 1 + 8 + 9 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1275309916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LESLIE O'NEILL PT, DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
DR. JENNIFER ZELLERS DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
MRS. TARA MANAL PT, MPT, SCS, OCS
Physical Medicine & Rehabilitation
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
FREDERIC BREIDENBACH III
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
DR. EMMA HALDANE BEISHEIM PT, DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
DR. DONALD CHRISTOPHER FORD DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
MEGAN ZIEGLER DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
JARED DAVID KAPLAN DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
GERARD SMITH
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
PATRICK KNOX PT, DPT, MS
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
NAOAKI ITO DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
SAMANTHA D VARGAS DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
KIERSTEN META MCCARTNEY PT, DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
SHANNON BURKE COLLETON DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
MORGAN POTTER PT, DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
ANDREW KYLE SMITH PT, DPT, MS
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
CHAYA DIVYA RAJEEV
Physical Medicine & Rehabilitation
(Sports Medicine)
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
SIERRA MARTIN PT, DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
DR. SYDNEY LILES DPT
Physical Therapist
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
JACOB JOHN COREY DPT
Specialist/Technologist
(Athletic Trainer)
540 S COLLEGE AVE STE 160
NEWARK, DE
ZIP 19713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275309916, enumerated as an "individual" on December 04, 2023.
The provider is located at 540 S COLLEGE AVE STE 160 NEWARK, DE 19713 and the phone number is (302) 831-8893.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.
