GRIGORIY KIM DPT
NPI 1477310142
Physical Therapist - Orthopedic in Concord, CA

Active since February 29, 2024Accepts Medicare Assignment
2280 DIAMOND BLVD, CONCORD, CA 94520(925) 269-9800 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Grigoriy Kim Dpt NPPES

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

GRIGORIY KIM DPT (NPI 1477310142) is an individual orthopedic provider in Concord, California, licensed in California (305717) and active in the NPI registry since February 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1477310142
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameGRIGORIY KIMCredential: DPT
Location Address2280 DIAMOND BLVDConcord, CA 94520-5750
Mailing Address470 N Civic Dr Apt 313Walnut Creek, CA 94596-3344 · (415) 745-5047
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1477310142 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 CA · 305717
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.
2280 DIAMOND BLVD, Concord, CA 94520

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

Grigoriy 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 ID143719450
PECOS Enrollment IDI20251028001937

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
2280 DIAMOND BLVD
CONCORD, CA 94520
Acupuncturist
2280 DIAMOND BLVD
CONCORD, CA 94520
Community Health Worker
2280 DIAMOND BLVD
CONCORD, CA 94520
Family Medicine
2280 DIAMOND BLVD, #570
CONCORD, CA 94520
Nurse Practitioner
2280 DIAMOND BLVD, SUITE 150
CONCORD, CA 94520
Counselor (Addiction (Substance Use Disorder))
2280 DIAMOND BLVD, SUITE 500
CONCORD, CA 94520
Psychologist (Counseling)
2280 DIAMOND BLVD
CONCORD, CA 94520
Registered Nurse
2280 DIAMOND BLVD, SUITE 500
CONCORD, CA 94520

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 Grigoriy Kim's NPI number?

The NPI number for Grigoriy Kim is 1477310142. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Grigoriy Kim located?

Grigoriy Kim practices at 2280 Diamond Blvd, Concord, CA 94520. The listed phone number is (925) 269-9800.

What is Grigoriy Kim's specialty?

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

Is Grigoriy Kim enrolled in Medicare?

Yes. Grigoriy 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 Grigoriy Kim was last updated on February 29, 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.