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

Stephanie Kim

Individual provider Physical Therapist · NPI 1659889616

Stephanie Kim is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 2017, 9 years ago. Practices with Broadway Physical Therapy and Sports Rehab LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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Practice location Address checks out

3016 NE Broadway St
Portland, OR 97232-1811
Phone: (503) 287-6636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1659889616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Broadway Physical Therapy And Sports Rehab Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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