SOO CHAN KIM
NPI 1609752666
Physical Therapist in Reston, VA

Active since August 14, 2025
11490 COMMERCE PARK DR STE 412, RESTON, VA 20191(703) 564-4636 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2025, Aug 14, 2025 (2 updates tracked since 2025).

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

NPI1609752666
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSOO CHAN KIM
Location Address11490 COMMERCE PARK DR STE 412Reston, VA 20191-1590
Mailing Address11490 Commerce Park Dr Ste 412Reston, VA 20191-1590 · (703) 860-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 14, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1609752666 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
License Licensed in VA · 2305217403
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.
11490 COMMERCE PARK DR STE 412, Reston, VA 20191

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).

PECOS PAC ID3476059585
PECOS Enrollment IDI20250929002035

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.