JOANN KIM OTR/L
NPI 1710815808
Occupational Therapist in Great Neck, NY

Active since May 11, 2026
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021(516) 829-0030 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, May 11, 2026 (2 updates tracked since 2026).

About Joann Kim Otr/l NPPES

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

JOANN KIM OTR/L (NPI 1710815808) is an individual occupational therapist in Great Neck, New York, licensed in New York (031045) and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1710815808
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJOANN KIMCredential: OTR/L
Location Address475 NORTHERN BLVD STE 19Great Neck, NY 11021-4802
Mailing Address170 Fairhaven Dr Apt B15Jericho, NY 11753-2461
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 11, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1710815808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in NY · 031045
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
475 NORTHERN BLVD STE 19, Great Neck, NY 11021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joann Kim Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456821941
PECOS Enrollment IDI20260526002402

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021
Occupational Therapist
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021

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 Joann Kim's NPI number?

The NPI number for Joann Kim is 1710815808. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Joann Kim located?

Joann Kim practices at 475 Northern Blvd Ste 19, Great Neck, NY 11021. The listed phone number is (516) 829-0030.

What is Joann Kim's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Joann Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joann Kim was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.