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JONATHAN KIM PT, DPT
NPI 1780497479
Physical Therapist - Orthopedic in Los Angeles, CA

Active since January 28, 2025Accepts Medicare Assignment
12424 WILSHIRE BLVD, LOS ANGELES, CA 90025(310) 826-2977 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan Kim Pt, Dpt NPPES

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

JONATHAN KIM PT, DPT (NPI 1780497479) is an individual orthopedic provider in Los Angeles, California and active in the NPI registry since January 2025. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1780497479
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJONATHAN KIMCredential: PT, DPT
Location Address12424 WILSHIRE BLVDLos Angeles, CA 90025-1052
Mailing Address1517 S Van Ness AveLos Angeles, CA 90019-4632 · (818) 983-6778
Phone(310) 826-2977
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1780497479 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
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.
12424 WILSHIRE BLVD, Los Angeles, CA 90025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Kim Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870013360
PECOS Enrollment IDI20250227001839

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athletic Physical Therapy
Same address
Physical Therapist
12424 WILSHIRE BLVD, SUITE 101
Los Angeles, CA 90025
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1295967057 (310) 826-2977

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 8

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

TOTAL REHAB INSTITUTE INC
Physical Therapist
12424 WILSHIRE BLVD, SUITE #1110
LOS ANGELES, CA 90025
Los Angeles County (310) 826-3919
ATHLETIC PHYSICAL THERAPY
Physical Therapist
12424 WILSHIRE BLVD, SUITE 101
LOS ANGELES, CA 90025
Los Angeles County (310) 826-2977
ALISON KUNG
Physical Therapist
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 826-2977
MR. STEVE CREAR
Physical Therapist (Orthopedic)
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 826-2977
BRETT NELSON DPT
Physical Medicine & Rehabilitation
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 826-2977
DR. MORGAN CHRISTY
Physical Therapist
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 826-2977
BRIANNA MURRAY
Marriage & Family Therapist
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 571-8760
BREANNA CULLINAN ANTHONY LMFT
Counselor (Mental Health)
12424 WILSHIRE BLVD
LOS ANGELES, CA 90025
Los Angeles County (818) 879-3688

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 Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1780497479. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Jonathan Kim located?

Jonathan Kim practices at 12424 Wilshire Blvd, Los Angeles, CA 90025. The listed phone number is (310) 826-2977.

What is Jonathan Kim's specialty?

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

Is Jonathan Kim enrolled in Medicare?

Yes. Jonathan Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Kim reassigns Medicare benefits to Athletic Physical Therapy (Los Angeles, CA). The 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 Jonathan 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 Jonathan Kim was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.