MYUNGJIN KIM P.T.
NPI 1578861399
Physical Therapist in Grand Terrace, CA

Active since March 02, 2011
12139 MOUNT VERNON AVE, SUITE 110, GRAND TERRACE, CA 92313(909) 370-3396(909) 783-4288 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Myungjin Kim P.t. NPPES

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

MYUNGJIN KIM P.T. (NPI 1578861399) is an individual physical therapist in Grand Terrace, California, licensed in California (29866) and active in the NPI registry since March 2011. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1578861399
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMYUNGJIN KIMCredential: P.T.
Location Address12139 MOUNT VERNON AVE, SUITE 110Grand Terrace, CA 92313-5586
Mailing Address12139 Mount Vernon Ave, Suite 110Grand Terrace, CA 92313-5586 · (909) 370-3396 · Fax (909) 783-4288
Fax(909) 783-4288
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 2, 2011
Last NPPES UpdateSeptember 19, 2012
NPI 1578861399 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
License Licensed in CA · 29866
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.
12139 MOUNT VERNON AVE, Grand Terrace, CA 92313

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Myungjin Kim P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729230685
PECOS Enrollment IDI20131017001975

Areas of Expertise CMS Part B claims 2

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 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.
123 services14 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
49 services13 patients

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
12139 MOUNT VERNON AVE, SUITE 110
GRAND TERRACE, CA 92313
Hospice Care, Community Based
12139 MOUNT VERNON AVE, STE 202
GRAND TERRACE, CA 92313
Social Worker (Clinical)
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313
Physical Therapist
12139 MOUNT VERNON AVE, #110
GRAND TERRACE, CA 92313
Occupational Therapist
12139 MOUNT VERNON AVE, SUITE 110
GRAND TERRACE, CA 92313
Physical Therapist
12139 MOUNT VERNON AVE
GRAND TERRACE, CA 92313

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 Myungjin Kim's NPI number?

The NPI number for Myungjin Kim is 1578861399. It was assigned to this individual provider in the NPPES registry on March 2, 2011.

Where is Myungjin Kim located?

Myungjin Kim practices at 12139 Mount Vernon Ave Suite 110, Grand Terrace, CA 92313. The listed phone number is (909) 370-3396.

What is Myungjin Kim's specialty?

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

Is Myungjin Kim enrolled in Medicare?

Yes. Myungjin Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myungjin Kim was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.