National Provider Identifier
Jessica Kim, DPT
Jessica Kim, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Medina, NY and a listed phone number of (585) 798-2000.
Profile Overview
- NPI
- 1316517014
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 25, 2021
- Last Updated
- June 25, 2021
Practice Location
- 200 Ohio St
- Medina, NY 14103-1063
Phone: (585) 798-2000
Mailing Address
- 4623 Chestnut Ridge RD Apt D
- Buffalo, NY 14228-3338
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1316517014
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Jessica
- Credential
- DPT
- Mailing Street Address
- 4623 Chestnut Ridge RD Apt D
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14228-3338
- Mailing Country
- US
- Practice Street Address
- 200 Ohio St
- Practice City
- Medina
- Practice State
- NY
- Practice ZIP Code
- 14103-1063
- Practice Country
- US
- Practice Phone
- (585) 798-2000
- Enumeration Date
- June 25, 2021
- Last Updated
- June 25, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)