KENDRA J KIM
NPI 1689876740
Physical Therapist in Marysville, WA
About Kendra J Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA J KIM (NPI 1689876740) is an individual physical therapist in Marysville, Washington, licensed in Washington (PU20001192) and active in the NPI registry since June 2007.
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Other Identifiers 15
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendra J Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kendra Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 70 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 345 clinicians in this Medicare group
Snohomish, WA 98290
- Reassigned Medicare billing, Washington enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kendra Kim's NPI number?
The NPI number for Kendra Kim is 1689876740. It was assigned to this individual provider in the NPPES registry on June 1, 2007. The provider is also known as Kendra Johanna Frey Dpt.
Where is Kendra Kim located?
Kendra Kim practices at 1049 State Ave, Marysville, WA 98270. The listed phone number is (360) 965-0000.
What is Kendra Kim's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kendra Kim enrolled in Medicare?
Yes. Kendra Kim is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kendra Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Kim reassigns Medicare benefits to 3 organizations: Everett Physical Therapy And Sport Performance Center PLLC (Everett, WA), Integrated Rehabilitation Group, PC (Everett, WA) and Snohomish Physical Therapy PLLC (Snohomish, WA). 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 Kendra 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 Kendra Kim was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.