Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Kim, MOT, OTR/L, CBIS

Individual provider Occupational Therapist · NPI 1225434962

Gina Kim, MOT, OTR/L, CBIS is an Occupational Therapist in Private Practice in Santa Monica, California. Qualified in 2015, 11 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1301 20th St Ste 300A
Santa Monica, CA 90404-2050
Phone: (310) 582-7111
Fax: (310) 315-4069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5359 Balboa Blvd, Encino, CA 91316-2819 — (818) 849-5396
  • 16542 Ventura Blvd Ste 500, Encino, CA 91436-4510 — (818) 783-3800

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 15535 (CA)

Record details

NPI number1225434962
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L , CBIS
Sole proprietorNo
NPI enumeratedNovember 7, 2014
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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