ANGELICA KIM (NPI# 1043741549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043741549 |
| Entity Type | Individual |
| Full Name | ANGELICA KIM |
| Credential | P.T., D.P.T. |
| Practice Address |
410 Providence Ln Ne Emilie Gamelin Pavilion, 2nd Floor Olympia WA 98506-6927 |
| Practice Telephone | 3604934995 |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT60564828 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
410 PROVIDENCE LN NE EMILIE GAMELIN PAVILION, 2ND FLOOR |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673430 | Susan U Doolittle | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2006-08-30 |
| 1275995409 | Eliza Deguzman | Pharmacist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, Olympia, WA 98506-6927 | 2016-03-26 |
| 1356709695 | Robin Wooldridge | Pharmacist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, Olympia, WA 98506-6927 | 2016-02-01 |
| 1528436995 | Mackenzie Smith | Pharmacist | 410 Providence Ln Ne, Olympia, WA 98506 | 2015-09-02 |
| 1881016681 | Kristin Bradshaw | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-13 |
| 1538581715 | Robert Bell | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-07 |
| 1508287848 | Deanna Carol Knoll | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-03 |
| 1194146506 | Nancy Willard | Speech-Language Pathologist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
| 1538580956 | Brenda Mckey | Occupational Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
| 1134476575 | Kenneth Eugene Schnell | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2012-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787817 | Kady Falon Green | Physical Therapist | 215 Columbia St Nw Unit 207, Olympia, WA 98501-8204 | 2020-07-13 |
| 1679090377 | Bradford Thomas Gomez | Physical Therapist | 420 Mcphee Rd Sw Ste B, Olympia, WA 98502-5014 | 2017-08-24 |
| 1629486949 | Kaitlyn Mcnamara | Physical Therapist | 9241 Littlerock Rd Sw, Olympia, WA 98512-8537 | 2014-07-30 |
| 1770908915 | Lindsey Ashley | Physical Therapist | 5410 Stadium Lane Se, Apt F101, Olympia, WA 98501 | 2014-02-25 |
| 1356692198 | Christina M Sipe | Physical Therapist | 2523 Cedar Park Loop Se, Olympia, WA 98501-6242 | 2012-09-19 |
| 1710257043 | Andrea Gallo | Physical Therapist | 420 Lilly Rd Ne # 10, Olympia, WA 98506-5184 | 2012-01-03 |
| 1902192446 | Joseph Reid Briglia | Physical Therapist | 1625 Summit Lake Shore Rd Nw, Olympia, WA 98502-9437 | 2011-06-23 |
| 1316260110 | Tammi Sheppard Stewart | Physical Therapist | 615 Lilly Rd Ne Ste 240, Olympia, WA 98506 | 2010-03-08 |
| 1194956201 | Jayrold Calumpang Tiu | Physical Therapist | 1100 Fern St Sw, Apt 37-204, Olympia, WA 98502-1138 | 2009-08-06 |
| 1598996118 | Shannon Nicole Wilcox | Physical Therapist | 2108 Caton Way Sw, Olympia, WA 98502-1105 | 2009-07-30 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.