Sport Specific Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPORT SPECIFIC PHYSICAL THERAPY INC.

Practice address

775 Dawson Ave
Long Beach, CA 90804-4529

Phone

(551) 574-1109

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Gunpyo KimNPI 1609377050

Title

Ceo

Phone

(551) 574-1109

Specialties & licenses 1

Addresses

Other names 1

• KIM REHAB GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Gunpyo Kim, DPT

  • Physical Therapist
  • Long Beach, CA
  • NPI 1609377050
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1427932425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 DAWSON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044529",
            "telephone_number": "551-574-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 DAWSON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044529",
            "telephone_number": "551-574-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT SPECIFIC PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GUNPYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "551-574-1109"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIM REHAB GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Spirlin, MS
• Natalie A Spiteri, PSY. D.
• Natalie Ann Spitz-Eshelman
• Frances G. Spokane, MA-CCC-SLP
• Albern Lee Spoolstra, DDS
• Spot Pediatric Occupational and Speech Therapy, Inc.
• Rayford Spraggins
• Spring Wellness Center
• Stevee Sprowl
• Theresa Spulecki

• Physical Therapy Clinic/Center in Long Beach, CA
• Providers in Long Beach, 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 Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.