Jonathan Kim, PT, DPT
NPI 1780497479ActiveIndividual· Physical Therapist, Orthopedic· Los Angeles, CA
Physical Therapist, Orthopedic (PT, DPT) with Athletic Physical Therapy Inc, practicing in Los Angeles, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1780497479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Jan 28, 2025 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | — | — |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletic Physical Therapy IncSimi Valley, CA · 10 clinicians
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