Jeffrey Jisung Kim, PT DPT
NPI 1073197984ActiveIndividual· Physical Therapist· Bryan, TX
Physical Therapist (PT DPT) with Advance Therapy, PC, practicing in Bryan, Texas. Medicare paid $111,816 for services to 205 patients in 2024.
Overview
| NPI | 1073197984 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT DPT |
| Sole proprietor | No |
| NPI issued | May 6, 2021 |
| Last updated in NPPES | May 7, 2021 |
| Certified by provider | May 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1345176 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 205 |
|---|---|
| Services billed | 6,260 across 12 procedure codes |
| Paid by Medicare | $111,816 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Advance Therapy, PCBryan, TX · 13 clinicians
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