EUNGSOO SHIN
NPI 1548706690
Physical Therapist in Sunrise, FL

Active since January 12, 2017
1520 NW 125TH AVE APT 10301, SUNRISE, FL 33323(954) 994-6987 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eungsoo Shin NPPES

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

EUNGSOO SHIN (NPI 1548706690) is an individual physical therapist in Sunrise, Florida, licensed in Illinois (070021859) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1548706690
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEUNGSOO SHIN
Location Address1520 NW 125TH AVE APT 10301Sunrise, FL 33323-5241
Mailing Address1520 Nw 125th Ave Apt 10301Sunrise, FL 33323-5241 · (954) 994-6987
Sole ProprietorYes
Enumeration DateJanuary 12, 2017
✔ NPI 1548706690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in IL · 070021859✔ Licensed in NM · 4575✔ Licensed in NY · 034310✔ Licensed in CT · 10356
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1520 NW 125TH AVE APT 10301, Sunrise, FL 33323

Other Identifiers 1

OtherW232221175FL · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eungsoo Shin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Eungsoo Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
3821 N VERMILION ST, SUITE 2
Savoy, IL 61823
  • Reassigned Medicare billing, Illinois enrollment

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

Other Providers at the Same Location NPPES 2

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

Physical Therapist
1520 NW 125TH AVE APT 10301
SUNRISE, FL 33323
Physical Therapist
1520 NW 125TH AVE APT 10301
SUNRISE, FL 33323

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 Eungsoo Shin's NPI number?

The NPI number for Eungsoo Shin is 1548706690. It was assigned to this individual provider in the NPPES registry on January 12, 2017.

Where is Eungsoo Shin located?

Eungsoo Shin practices at 1520 NW 125th Ave Apt 10301, Sunrise, FL 33323. The listed phone number is (954) 994-6987.

What is Eungsoo Shin's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Eungsoo Shin enrolled in Medicare?

Yes. Eungsoo Shin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eungsoo Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eungsoo Shin reassigns Medicare benefits to Dahna Physical Therapy Inc (Savoy, IL). The 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 Eungsoo Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eungsoo Shin was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.