Sung J. Kim Physical Therapy, Apc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT42303 Issued in CA

Legal business name

SUNG J. KIM PHYSICAL THERAPY, APC

Practice address

1706 W Orangethorpe Ave Ste D
Fullerton, CA 92833-4538

Phone

(714) 475-1400

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Sung J Kim, PTNPI 1861887747

Title

President/PT

Phone

(714) 475-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JK PROREHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Sung Jin Kim, DPT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1861887747
  Medicare reassignment Care Compare group NPD Authorized official
• Hyun Chung, OTD, OTR/L

  • Occupational Therapist
  • Fullerton, CA
  • NPI 1932477148
  Medicare reassignment Care Compare group NPD
• Sharon Hatae-Vargas, OTR

  • Occupational Therapist
  • La Palma, CA
  • NPI 1063800357
  Medicare reassignment Care Compare group NPD
• John Nick Torres, PT

  • Physical Therapist
  • Fullerton, CA
  • NPI 1285974642
  Medicare reassignment Care Compare group NPD
• Nicholas Bucher, PT, DPT

  • Physical Therapist
  • Monterey Park, CA
  • NPI 1114383957
  Medicare reassignment NPD

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1538656012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE F",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334556",
            "telephone_number": "714-457-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 W ORANGETHORPE AVE STE D",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334538",
            "telephone_number": "714-475-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG J. KIM PHYSICAL THERAPY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "714-475-1400",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT42303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JK PROREHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summer Rose Palliative and Hospice Care Inc
• Warunyaporn Sumrittikul
• Sun Acupuncture and Herb Clinic Corp
• Sun Haven Care, Inc.
• Farrah Firozali Sunderji, O.D.
• Jayun Sung
• Jongshin Sung
• Carmelito Torres Sunglao II
• Maria Leonor Umali Sunglao
• Seema Sunil Panicker, FNP-C

• Physical Therapy Clinic/Center in Fullerton, CA
• Providers in Fullerton, 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 19, 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.