Hyena Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HYENA PHYSICAL THERAPY, INC.

Practice address

2123 Garnet Ave
Ste B
San Diego, CA 92109

Phone

(818) 934-0616

NPI assigned

Jan 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Park Kim, DPTNPI 1679053383

Title

President

Phone

(818) 934-0616

Specialties & licenses 1

Addresses

Other names 1

• Hyena Rehab & Performance Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Park Kim, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1679053383
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1316716368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 GRAND AVE",
            "address_2": "#98",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 GARNET AVE",
            "address_2": "STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "818-934-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYENA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-934-0616",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyena Rehab & Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hyena Rehab & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloe Grace Hyde, AUD
• Madison Elise Hyde
• Tony Hyde
• James Monty Hyden Jr., PH.D.
• Hydra Golden Care LLC
• Travis D Hyke
• Karen Zoe Hyland, PH.D.
• Hylic Physical Therapy Apc
• Diana J Hylton, M.D.
• Emily Patricia Hylton, CRNA

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.