Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kim Koponen

Individual provider Physical Therapy Assistant · NPI 1063786630

Kim Koponen is a Physical Therapy Assistant in Winter Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

925 S Semoran Blvd Ste 108
Winter Park, FL 32792-5313 Not confirmed with CMS for 14 years — call before visiting
Phone: (877) 430-2772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA19623 (FL)

Record details

NPI number1063786630
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 29, 2012
Last updated in NPPESFebruary 29, 2012

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