SOO CHAN KIM
NPI 1609752666
Physical Therapist in Reston, VA
About Soo Chan Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOO CHAN KIM (NPI 1609752666) is an individual physical therapist in Reston, Virginia, licensed in Virginia (2305217403) and active in the NPI registry since August 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soo Chan Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Soo Chan Kim's NPI number?
The NPI number for Soo Chan Kim is 1609752666. It was assigned to this individual provider in the NPPES registry on August 14, 2025.
Where is Soo Chan Kim located?
Soo Chan Kim practices at 11490 Commerce Park Dr Ste 412, Reston, VA 20191. The listed phone number is (703) 564-4636.
What is Soo Chan Kim's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Soo Chan Kim enrolled in Medicare?
Yes. Soo Chan Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Soo Chan Kim was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.