Individual provider Active NPI

Jonathan Sunghoo Kim, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1386449932
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017599 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109
Phone
(470) 300-6030
Fax
(470) 300-6031
NPI assigned
Feb 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017599 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Other practice location 1

2103 Pleasant Hill Rd Ste B
Duluth, GA 30096-4629
Phone (470) 740-3900

Other practice location 2

1424 W Paces Ferry Rd NW
Atlanta, GA 30327-2428
Phone (470) 805-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304002075 GA Practitioner - Physical Therapist in Private Practice 3173044351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 303
Atlanta, GA 30327-4109
Phone (470) 300-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients

Locations

1424 W Paces Ferry Rd NW
Atlanta, GA 30327
Phone (404) 367-5086

3280 Howell Mill Rd NW
Ste 303
Atlanta, GA 30327
Phone (470) 300-6030

2103 Pleasant Hill Rd
Duluth, GA 30096
Phone (470) 740-3900

2103 Pleasant Hill Rd
Ste B
Duluth, GA 30096
Phone (470) 740-3900

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1386449932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "470-300-6030",
            "fax_number": "470-300-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Pleasant Hill Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964629",
            "country_code": "US",
            "telephone_number": "470-740-3900",
            "fax_number": "470-740-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1424 W Paces Ferry Rd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303272428",
            "country_code": "US",
            "telephone_number": "470-805-0060",
            "fax_number": "470-300-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONATHAN",
        "middle_name": "SUNGHOO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.