Individual provider Active NPI

Jonghyun Nick Choi, DPT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1760072961
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP041093T Issued in GA
Practice address
1022 Sugarloaf Reserve Dr
Duluth, GA 30097-4051
Phone
(201) 341-2522
NPI assigned
Jan 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299710 CA
Physical Therapist 225100000X CP041093T GA Primary

Addresses

Primary practice location

1022 Sugarloaf Reserve Dr
Duluth, GA 30097-4051

Mailing address

8923 La Riviera Dr
Sacramento, CA 95826-2155
Phone (201) 341-2522

Other practice location 1

8923 La Riviera Dr
Sacramento, CA 95826-2155
Phone (201) 341-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299710CAMDPhysical Therapist
CP041093TGAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1760072961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 LA RIVIERA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262155",
            "telephone_number": "201-341-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 SUGARLOAF RESERVE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974051",
            "telephone_number": "201-341-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8923 La Riviera Dr",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262155",
            "country_code": "US",
            "telephone_number": "201-341-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JONGHYUN",
        "middle_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299710",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP041093T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.