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

Tae Goon Kim, DPT

Individual provider Physical Therapist · NPI 1194557579

Tae Goon Kim, DPT is a Physical Therapist in Private Practice in Lubbock, Texas. Qualified in 2024, 2 years ago. Practices with McCombs and Associates Physical Therapy Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

9107 Milwaukee Ave
Lubbock, TX 79424-0921
Phone: (806) 687-4311
Fax: (806) 687-4313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 Avenue G, Levelland, TX 79336-3719 — (806) 897-0540

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1194557579
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address9107 Milwaukee Ave, Lubbock, TX 79424-0921

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 McCombs And Associates Physical Therapy Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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