ILSEONG SONG PT, DPT
NPI 1871050245
Physical Therapist in San Diego, CA

Active since February 21, 2019Accepts Medicare Assignment
7340 MIRAMAR RD STE 210, SAN DIEGO, CA 92126(858) 284-1133 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2019, Feb 21, 2019 (2 updates tracked since 2019).

About Ilseong Song Pt, Dpt NPPES

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

ILSEONG SONG PT, DPT (NPI 1871050245) is an individual physical therapist in San Diego, California, licensed in California (295985) and active in the NPI registry since February 2019. He maintains 2 additional practice locations and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871050245
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameILSEONG SONGCredential: PT, DPT
Location Address7340 MIRAMAR RD STE 210San Diego, CA 92126-4224
Mailing Address6306 Seaman StSan Diego, CA 92120-2626 · (858) 284-1133
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 21, 2019
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
✔ NPI 1871050245 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 CA · 295985
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.
7340 MIRAMAR RD STE 210, San Diego, CA 92126

Secondary Practice Locations 2

Location 13145 Rosecrans St Ste FSan Diego, CA 92110-4831 · Phone (619) 223-7175
Location 23959 Ruffin Rd Ste JSan Diego, CA 92123-1830 · Phone (858) 279-5570

Other Identifiers 1

Other295985CA · Pt License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ilseong Song Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901149210
PECOS Enrollment IDI20190529002040

Medicare Billing Reassignment

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

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Ilseong Song's NPI number?

The NPI number for Ilseong Song is 1871050245. It was assigned to this individual provider in the NPPES registry on February 21, 2019.

Where is Ilseong Song located?

Ilseong Song practices at 7340 Miramar Rd Ste 210, San Diego, CA 92126. The listed phone number is (858) 284-1133.

What is Ilseong Song's specialty?

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

Is Ilseong Song enrolled in Medicare?

Yes. Ilseong Song is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ilseong Song's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilseong Song reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Ilseong Song'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 Ilseong Song was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.