OrganizationActive
Gmpt
NPI 1194102004 · Physical Therapist · San Juan Capistrano, CA
Provider details
- NPI number
- 1194102004
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kim DO, Authorized Official(714) 283-3242
- License
- PT29580 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
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
32302 Camino Capistrano
Suite 107
San Juan Capistrano, CA 92675-4501
Phone: (949) 276-8845
Street-level locationGet directions
Mailing address
32302 Camino Capistrano
San Juan Capistrano, CA 92675-4501
Registry dates
- Enumerated
- 2015-04-29
- Last updated
- 2015-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.