Organization Active NPI

Core Physical Therapy & Sports Medicine PC

Doing business as Core Medical Group

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bridgeport, CT
National Provider Identifier
1609014893
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
CORE PHYSICAL THERAPY & SPORTS MEDICINE PC
Doing business as
Core Medical Group
Practice address
3180 Main St
Ste 303, 304
Bridgeport, CT 06606-4237
Phone
(203) 373-1593
Fax
(203) 549-0899
NPI assigned
Jan 27, 2009
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Mr. David Tung, MDNPI 1972799799
Title
President
Phone
(203) 378-1593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

3180 Main St
Ste 303, 304
Bridgeport, CT 06606-4237

Mailing address

3180 Main St
Ste 202, 204
Bridgeport, CT 06606-4237
Phone (203) 373-1593

Other names 1

  • Core Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170705001084 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204105364 Receives reassigned benefits from 9 practitioners
Practice locations: Bridgeport, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2131517Core Physical Therapy and Sports Medicine3180 Main St, Bridgeport, CT 06606ComplianceJan 9, 2028

National Provider Directory

National Provider Directory

Locations

3180 Main St
Ste 202
Bridgeport, CT 06606
Phone (203) 373-1593

3180 Main St
Ste 202204
Bridgeport, CT 06606
Phone (203) 373-1593

3180 Main St
Ste 303
Bridgeport, CT 06606
Phone (203) 373-1593

2080 Whitney Ave
Ste 280290
Hamden, CT 06518

2080 Whitney Ave
Ste 290
Hamden, CT 06518
Phone (203) 373-1593

999 Summer St
Ste 304
Stamford, CT 06905
Phone (203) 325-5700

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1609014893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 MAIN ST",
            "address_2": "STE 202, 204",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064237",
            "telephone_number": "203-373-1593",
            "fax_number": "203-549-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MAIN ST",
            "address_2": "STE 303, 304",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064237",
            "telephone_number": "203-373-1593",
            "fax_number": "203-549-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-378-1593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.