SOPHIA JUNG PT, DPT, ATC
NPI 1396203055
Physical Therapist - Pediatrics in Waconia, MN

Active since March 12, 2019
9346 OAK AVE, WACONIA, MN 55387(952) 223-2506 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2025, Mar 12, 2019 (2 updates tracked since 2019).

About Sophia Jung Pt, Dpt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA JUNG PT, DPT, ATC (NPI 1396203055) is an individual pediatrics provider in Waconia, Minnesota and active in the NPI registry since March 2019. She maintains a secondary practice location in Bismarck and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396203055
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameSOPHIA JUNGCredential: PT, DPT, ATC
Location Address9346 OAK AVEWaconia, MN 55387-9422
Mailing Address9346 Oak AveWaconia, MN 55387-9422
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 12, 2019
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1396203055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

9346 OAK AVE, Waconia, MN 55387

Secondary Practice Location 1

Location 14530 Northern Sky DrBismarck, ND 58503-8534 · Phone (701) 255-7500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sophia Jung Pt, Dpt, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577092477
PECOS Enrollment IDI20251113001114

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Occupational Therapist (Pediatrics)
9346 OAK AVE
WACONIA, MN 55387
Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396203055, enumerated as an "individual" on March 12, 2019.

The provider is located at 9346 OAK AVE WACONIA, MN 55387 and the phone number is (952) 223-2506.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.