J & J Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

J & J PHYSICAL THERAPY LLC

Practice address

80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740

Phone

(770) 591-8797

Fax

(770) 209-3767

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Kyonghun ChongNPI 1104466655

Title

Provider

Phone

(770) 591-8797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyonghun Chong, PHYSICAL THERAPIST

  • Physical Therapist
  • Suwanee, GA
  • NPI 1104466655
  Medicare reassignment Care Compare group NPD Authorized official
• Eunse Park, PT, PHD

  • Physical Therapist
  • Suwanee, GA
  • NPI 1407740293
  Medicare reassignment Care Compare group NPD
• Sunghoon Moon

  • Physical Therapist
  • North Wales, PA
  • NPI 1740975473

  GA

  Medicare reassignment Care Compare group
• Hogyun Han, DPT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1871337360
  Medicare reassignment NPD
• Brian Hoang, DPT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1356063697
  NPD
• Jae Hun Lee, L.AC.,O.M.D

  • Acupuncturist
  • Suwanee, GA
  • NPI 1306194279
  NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1538786249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HORIZON DR STE 304B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247740",
            "telephone_number": "770-591-8797",
            "fax_number": "770-209-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HORIZON DR STE 304B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247740",
            "telephone_number": "770-591-8797",
            "fax_number": "770-209-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "KYONGHUN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-591-8797"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Israel, DDS
• It's Primetime LLC
• Jovana Ivanovic, RBT
• Courtney Iwinski
• Meenakshi Nagarajan Iyer, M.D
• J. S. Maddox Consulting, LLC
• Craig Lebern Jackson, RN
• Delaney Madisen Jackson, CNM
• Markaya Jackson, RBT
• Nicole Navika Jackson, CPT

• Physical Therapy Clinic/Center in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.