Tim Hyeonmin Song, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1394699 Issued in TX

Practice address

7548 Preston Rd Ste 145
Frisco, TX 75034-5684

Phone

(972) 712-9693

Fax

(972) 712-9625

NPI assigned

Jul 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve Physical Therapy and Performance Limited PartnershipGroup PAC ID 3678889672, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achieve Physical Therapy and Performance Limited Partnership

  • Physical Therapist
  • Plano, TX
  • NPI 1144600362
  Medicare reassignment Care Compare group NPD
• Frisco Physical Therapy Limited Partnership

  • Physical Therapist
  • Frisco, TX
  • NPI 1417992363
  NPD (past)

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1609614460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7548 PRESTON RD STE 145",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345684",
            "telephone_number": "972-712-9693",
            "fax_number": "972-712-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "TIM",
        "middle_name": "HYEONMIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1394699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solroot Family Wellness, PLLC
• Misty Dawn Solt, PHD
• Ananya Somani
• Vellaiappan Somasundaram, MD
• Matthew Song
• Dipen Soni, PT
• Vikas R Soni, PT
• Monica Soper, PT
• Shalabi Sorathia, MD
• Isaac Sossa

• Physical Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.