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

Myungjin Kim, PT

Individual provider Physical Therapist · NPI 1578861399

Myungjin Kim, PT is a Physical Therapist in Private Practice in Grand Terrace, California. Qualified in 2001, 25 years ago. Practices with Total Care Physical Therapy Inc, a 3-clinician group. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12139 Mount Vernon Ave Ste 110
Grand Terrace, CA 92313-5586
Phone: (909) 370-3396
Fax: (909) 783-4288
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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 29866 (CA)

Record details

NPI number1578861399
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 2, 2011
Last updated in NPPESSeptember 19, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Total Care Physical Therapy Inc — 3 clinicians
Accepts Medicare assignment Not indicated

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