Active NPIIndividual providerSole proprietor

Ms. Mie Hae Kim, PTA

Physical Therapy Assistant in Westfield, New Jersey

NPI Number1124391602
Practice location
1515 Lamberts Mill RD, Westfield, NJ 07090-4763
Fax
908-233-4266
Last updated
February 15, 2012

Mie Hae Kim is a Physical Therapy Assistant based in Westfield, NJ. Mie Hae Kim practices in Westfield, NJ and has the professional credentials of PTA. The NPI Number for Mie Hae Kim is 1124391602 and holds a License No. 40QB00190900 (NJ). The current practice location address for Mie Hae Kim is 1515 Lamberts Mill RD, Westfield, NJ 07090-4763 and can be reached out via phone at 908-233-9700 and via fax at 908-233-4266.

Provider Profile Details

NPI Number
1124391602
Provider Name
Mie Hae Kim
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
1515 Lamberts Mill RD, Westfield, NJ 07090-4763
Phone Number
908-233-9700
Fax Number
908-233-4266
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
February 15, 2012
Last Update Date
February 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1515 Lamberts Mill RD
Westfield, NJ 07090-4763
Zip
07090-4763
Phone Number
908-233-9700
Fax Number
908-233-4266
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
77 Harrison Ave
Colonia, NJ 07067-2228
City
Colonia
State
NJ
Zip
07067-2228
Phone Number
908-380-7642

License Information

License Number
40QB00190900
License State
NJ
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mie Hae Kim, PTA?

The NPI number of Ms. Mie Hae Kim, PTA is 1124391602. It was assigned on February 15, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Mie Hae Kim, PTA?

Ms. Mie Hae Kim, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00190900.

Where does Ms. Mie Hae Kim, PTA practice?

The practice location is 1515 Lamberts Mill RD, Westfield, NJ 07090-4763. The office can be reached at 908-233-9700 (phone) or 908-233-4266 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124391602 directly on the NPPES registry website.

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