Active NPI
Brian Woogi Kim, DPT
- Physical Therapist
- Chantilly, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208494
- Practice address
- 14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225 - Phone
- (703) 865-6455
- Fax
- (703) 649-6455
- NPI assigned
- Oct 23, 2013
- Last updated
- May 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0121001206 | VA | |
| Physical Therapist | 225100000X | 24747 | MD | |
| Physical Therapist | 225100000X | 2305208494 | VA | Primary |
Addresses
Primary practice location
14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225
Mailing address
14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225
Phone (703) 395-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407284714 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14153 Robert Paris CT
Suite a
Chantilly, VA 20151-4225
Phone (703) 865-6455
14153 Robert Paris CT a
Chantilly, VA 20151-4225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121001206 | VA | MD | Acupuncturist |
| 24747 | MD | MD | Physical Therapist |
| 2305208494 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Rehab Corp | Physical Therapist | Current | Accepting new patients |
| Core Integrative Care & Wellness, Inc. | Acupuncturist | Current | Accepting new patients |
| Core Physical Therapy & Rehab., P.C. | Acupuncturist | Current | Accepting new patients |
Locations
4304 Evergreen Ln
Ste 102
Annandale, VA 22003
Phone (703) 256-7979
14153 Robert Paris Ct
Ste A
Chantilly, VA 20151
Phone (703) 380-7357
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Chantilly, VA
- NPI 1992167373
Acupuncturist, DC
-
- Acupuncturist
- Chantilly, VA
- NPI 1477341154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1407284714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14153 ROBERT PARIS CT STE A",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201514225",
"telephone_number": "703-395-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14153 ROBERT PARIS CT STE A",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201514225",
"telephone_number": "703-865-6455",
"fax_number": "703-649-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "BRIAN",
"middle_name": "WOOGI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-23",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0121001206",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24747",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407284714",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.