Kyungjun Min, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2024032573 Issued in MO

Practice address

1400 US Highway 61
Crystal Cty, MO 63028-4100

Phone

(636) 933-1606

Fax

(636) 933-1871

NPI assigned

Jun 18, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ryan Min Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1336075449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 S RAFORD DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092336",
            "telephone_number": "417-655-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 61",
            "city": "CRYSTAL CTY",
            "state": "MO",
            "postal_code": "630284100",
            "telephone_number": "636-933-1606",
            "fax_number": "636-933-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "KYUNGJUN",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024032573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "MIN",
            "credential": "PT, DPT, CSCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandra Bahar Khodadadi, MD, MSPH
• Brandy Michelle Koch, FNP
• Kortni Lampe, PHARMD
• Hugh Urie Mackenzie IV, FNP
• Makaria Kenzie McMullen, FNP
• Jordyne Payne, FNP-BC
• Halie Rianne Scheffler, MSN-FNP
• Richard Martin Silverman, MD
• Mackenzie Taychert, DO
• Melody Kay Willis, MSN, RN, PMHNP-BC

• Physical Therapist in Crystal Cty, MO
• Providers in Crystal Cty, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.