HYERIM KIM PT, DPT.
NPI 1295514404
Physical Therapist - Orthopedic in West Jordan, UT

Q: What is Hyerim Kim's NPI number?

The NPI number for Hyerim Kim is 1295514404. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Hyerim Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hyerim Kim was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 26, 2023Accepts Medicare Assignment

7611 S JORDAN LANDING BLVD # 130, WEST JORDAN, UT 84084(801) 216-3117 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Hyerim Kim Pt, Dpt. NPPES

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

HYERIM KIM PT, DPT. (NPI 1295514404) is an individual orthopedic provider in West Jordan, Utah, licensed in Utah (134010882401) and active in the NPI registry since September 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1295514404

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameHYERIM KIMCredential: PT, DPT.

Location Address7611 S JORDAN LANDING BLVD # 130West Jordan, UT 84084-5610

Mailing Address10806 S Weiss DrSouth Jordan, UT 84009-7748

Phone(801) 216-3117

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1295514404 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

License✔ Licensed in UT · 134010882401

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.

7611 S JORDAN LANDING BLVD # 130, West Jordan, UT 84084

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hyerim Kim Pt, 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 ID4587193172

PECOS Enrollment IDI20250903001659

Medicare Billing Reassignments

Medicare enrollment records show Hyerim Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reborn Pelvic Health & Wellness

5.6 mi

Physical Therapy

6040 S FASHION BLVD STE 101
Murray, UT 84107

Reassigned Medicare billing, Utah enrollment
27 clinicians in this Medicare group

NPI 1740884907 (801) 702-8475

Andersonville Physical Therapy, Sc

1,265 mi

Physical Therapist

5414 N BROADWAY ST
Chicago, IL 60640

Reassigned Medicare billing, Illinois enrollment
12 clinicians in this Medicare group

NPI 1043368731 (773) 907-3599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hyerim Kim's NPI number?

The NPI number for Hyerim Kim is 1295514404. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Hyerim Kim located?

Hyerim Kim practices at 7611 S Jordan Landing Blvd # 130, West Jordan, UT 84084. The listed phone number is (801) 216-3117.

What is Hyerim Kim's specialty?

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

Is Hyerim Kim enrolled in Medicare?

Yes. Hyerim 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.

Which organizations bill Medicare for Hyerim Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyerim Kim reassigns Medicare benefits to 2 organizations: Reborn Pelvic Health & Wellness (Murray, UT) and Andersonville Physical Therapy, Sc (Chicago, IL). Each 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 Hyerim 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 Hyerim Kim was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.