Jin Ri Kim
NPI 1801576459ActiveIndividual· Occupational Therapist· Buena Park, CA
Occupational Therapist with California Rehabilitation and Sports Therapy A California Physical the, practicing in Buena Park, California. Medicare paid $16,456 for services to 38 patients in 2024.
Overview
| NPI | 1801576459 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 19, 2023 |
| Last updated in NPPES | Jul 19, 2023 |
| Certified by provider | Jul 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 25243 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 38 |
|---|---|
| Services billed | 803 across 10 procedure codes |
| Paid by Medicare | $16,456 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- California Rehabilitation and Sports Therapy A California Physical theMission Viejo, CA · 188 clinicians
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