Jeannie Kim, PT, DPT
NPI 1023410503 · Physical Therapist · Vallejo, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeannie Kim, PT, DPT is a Physical Therapist provider in Vallejo, CA (NPI 1023410503).
Provider details
- NPI number
- 1023410503
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 41102 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-16
- Last updated
- 2022-01-03
Frequently asked questions
- What is Jeannie Kim's NPI number?
- Jeannie Kim's National Provider Identifier (NPI) is 1023410503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeannie Kim's specialty?
- Jeannie Kim is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jeannie Kim located?
- Jeannie Kim's practice location on file with NPPES is 975 Sereno Dr, Vallejo, CA 94589-2441.
- What is Jeannie Kim's phone number?
- The practice phone number listed in the NPPES registry for Jeannie Kim is (707) 651-4428.
- Does Jeannie Kim accept Medicare?
- Jeannie Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeannie Kim's NPI active?
- Yes — Jeannie Kim's NPI (1023410503) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.