Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDRA J KIM
NPI 1689876740
Physical Therapist in Marysville, WA

Active since June 01, 2007
1049 STATE AVE, MARYSVILLE, WA 98270(360) 965-0000 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1689876740
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKENDRA J KIM
Location Address1049 STATE AVEMarysville, WA 98270-4234
Mailing Address1049 State AveMarysville, WA 98270-4234 · (360) 965-0000
Sole ProprietorNo
Enumeration DateJune 1, 2007
Last NPPES UpdateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1689876740 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 WA · PU20001192
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.
1049 STATE AVE, Marysville, WA 98270

Other Names 1

Former Name (1)Kendra Johanna Frey Dpt

Other Identifiers 15

Other0223978WA · Departmemt Of L&i
Other8490674WA · Dshs
Other8343949WA · Dshs
Other8945378WA · L&i Crime
Other9312078WA · Aetna
Other4613DEWA · Regence
Other3819DEWA · Regence
Other5065DEWA · Regence
Other5305FRWA · Regence
OtherP00461042WA · Railroad Medicare
Other6713DEWA · Regence
Other8343947WA · Dshs
Other8945380WA · L&i Crime
Other3716DEWA · Regence
Other8945108WA · L&i Crime Victims

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

3

Medicare 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.

Physical Therapist
2000 HEWITT AVE, #115
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 70 clinicians in this Medicare group
Clinic/Center
3732 COLBY AVE
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 345 clinicians in this Medicare group
Physical Therapy
1830 BICKFORD AVE, SUITE 209
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.

Occupational Therapist
1049 STATE AVE
MARYSVILLE, WA 98270
Physical Therapist
1049 STATE AVE
MARYSVILLE, WA 98270

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.