MR. BRIAN BYOUNGSOO KIM MPT
NPI 1699022111
Physical Therapist - Orthopedic in Tustin, CA

Q: What is Brian Kim's NPI number?

The NPI number for Brian Kim is 1699022111. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Q: What is Brian 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 Brian Kim was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 15, 2012

1962 ROANOKE AVE, TUSTIN, CA 92780(714) 488-6773 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2021, Jul 3, 2019 (2 updates tracked since 2019).

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About Mr. Brian Byoungsoo Kim Mpt NPPES

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

MR. BRIAN BYOUNGSOO KIM MPT (NPI 1699022111) is an individual orthopedic provider in Tustin, California, licensed in California (36544) and active in the NPI registry since August 2012. He maintains a secondary practice location in Menlo Park.

NPPES Registry Identity

NPI1699022111

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameMR. BRIAN BYOUNGSOO KIMCredential: MPT

Location Address1962 ROANOKE AVETustin, CA 92780-6635

Mailing Address1962 Roanoke AveTustin, CA 92780-6635 · (714) 488-6773

Phone(714) 488-6773

Sole ProprietorNo

Enumeration DateAugust 15, 2012

Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration

✔ NPI 1699022111 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 · 36544

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.

1962 ROANOKE AVE, Tustin, CA 92780

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Secondary Practice Location 1

Location 168 Willow RdMenlo Park, CA 94025-3653 · Phone (866) 839-6979

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 Brian Kim's NPI number?

The NPI number for Brian Kim is 1699022111. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Brian Kim located?

Brian Kim practices at 1962 Roanoke Ave, Tustin, CA 92780. The listed phone number is (714) 488-6773.

What is Brian Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Brian Kim was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.