| Cherokee Yeonjae Kim, | |
|
1229 Toteros Dr, Waxhaw, NC 28173-6950 | |
| (704) 618-2300 | |
| (704) 843-9045 |
| Full Name | Cherokee Yeonjae Kim |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1229 Toteros Dr, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134877327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | P21239 (North Carolina) | Primary |
| Provider Name | Breakthrough Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Cherokee Yeonjae Kim, 1229 Toteros Dr, Waxhaw, NC 28173-6950 Ph: (704) 618-2300 | Cherokee Yeonjae Kim, 1229 Toteros Dr, Waxhaw, NC 28173-6950 Ph: (704) 618-2300 |
Ashlie Moore, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Gallberry Ln, Waxhaw, NC 28173 Phone: 704-649-4509 | |
Kristy Joy Fleming, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 704-649-4509 Fax: 704-843-9045 | |
Saveena Kondaveeti, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8620 Fairgreen Ave, Waxhaw, NC 28173 Phone: 980-322-5440 | |
Megan Lynch Madlom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7402 Stonehaven Dr, Waxhaw, NC 28173 Phone: 210-896-0182 | |
Jennie Murray, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 616 N Broome Street, Suite 103, Waxhaw, NC 28173 Phone: 704-243-8488 | |
Ashley White Myers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Toteros Dr, Waxhaw, NC 28173 Phone: 662-769-1328 Fax: 704-843-9045 |