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

Jennifer Kim

Individual provider Physical Therapist · NPI 1538771936

Jennifer Kim is a Physical Therapist in Private Practice in Oakland, California. Qualified in 2020, 6 years ago. Practices with Sports and Orthopedic Leaders Physical Therapy Inc, a 42-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

4341 Piedmont Ave Ste 201
Oakland, CA 94611-4792
Phone: (510) 547-1630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 298745 (CA)

Record details

NPI number1538771936
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sports And Orthopedic Leaders Physical Therapy Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oakland