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

Ty Kim, OTR/L

Individual provider Occupational Therapist · NPI 1275212623

Ty Kim, OTR/L is an Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9932 Kika Ct Apt 3212
San Diego, CA 92129-5057
Phone: (831) 277-2109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT22821 (CA)

Record details

NPI number1275212623
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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