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

Individual provider Physical Therapist · NPI 1962210781

Prince S Kim, DPT is a Physical Therapist in Private Practice in Graham, Washington. Qualified in 2024, 2 years ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
2
Licensed in
TX, WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10141 224th St E
Graham, WA 98338-9190
Phone: (253) 446-6982
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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 1397219 (TX)
Physical Therapist Taxonomy 225100000X · Licence PT61600137 (WA)

Record details

NPI number1962210781
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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