SPORT SPECIFIC PHYSICAL THERAPY INC.
NPI 1427932425
Clinic/Center - Physical Therapy in Long Beach, CA

Active since August 04, 2025
775 DAWSON AVE, LONG BEACH, CA 90804(551) 574-1109 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2025, Sep 5, 2025, Aug 4, 2025 (3 updates tracked since 2025).

About Sport Specific Physical Therapy Inc. NPPES

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

SPORT SPECIFIC PHYSICAL THERAPY INC. (NPI 1427932425), doing business as Kim Rehab Group, is a healthcare organization registered as a physical therapy in Long Beach, California and active in the NPI registry since August 2025. The organization lists Gunpyo Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427932425
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPORT SPECIFIC PHYSICAL THERAPY INC.
Location Address775 DAWSON AVELong Beach, CA 90804-4529
Mailing Address775 Dawson AveLong Beach, CA 90804-4529 · (551) 574-1109
Organization SubpartNo
Authorized OfficialGunpyo KimCeo · (551) 574-1109
Enumeration DateAugust 4, 2025
Last NPPES UpdateSeptember 20, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2025
✔ NPI 1427932425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
775 DAWSON AVE, Long Beach, CA 90804

Other Names 1

Doing Business AsKim Rehab Group

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sport Specific Physical Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sport Specific Physical Therapy Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1609377050
775 DAWSON AVE
Long Beach, CA 90804
(551) 574-1109
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sport Specific Physical Therapy Inc.'s NPI number?

The NPI number for Sport Specific Physical Therapy Inc. is 1427932425. It was assigned to this organization in the NPPES registry on August 4, 2025. The provider is doing business as Kim Rehab Group.

Where is Sport Specific Physical Therapy Inc. located?

Sport Specific Physical Therapy Inc. is located at 775 Dawson Ave, Long Beach, CA 90804. The listed phone number is (551) 574-1109.

What is Sport Specific Physical Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Sport Specific Physical Therapy Inc. enrolled in Medicare?

Yes. Sport Specific Physical Therapy Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sport Specific Physical Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Sport Specific Physical Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sport Specific Physical Therapy Inc. was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.