Josephine Ok Kyung Shin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19358 Issued in CA

Practice address

1426 Fillmore St Ste 209
San Francisco, CA 94115-4164

Phone

(415) 931-7878

Fax

(415) 931-6724

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  Single Specialty

  NPD (past)
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  • NPI 1528561297
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1841850195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ALTA LOMA DR",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802240",
            "telephone_number": "415-314-0320",
            "fax_number": "415-931-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 FILLMORE ST STE 209",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154164",
            "telephone_number": "415-931-7878",
            "fax_number": "415-931-6724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 S Winchester Blvd Ste D138",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951283914",
            "country_code": "US",
            "telephone_number": "408-394-0288",
            "fax_number": "408-218-8327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JOSEPHINE",
        "middle_name": "OK KYUNG",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Shin Robin, D.D.S.
• Changsub Alex Shin, PH.D., L.AC., P.T.
• Jaehoon Shin, M.D., PH.D.
• Jaekyu Shin, PHARM.D.
• Jaeyoun Shin, MS
• Krystal Shin, PA-C
• Lauren H Shin, MD
• Seung Yun Shin
• Soo Min Shin
• Susie Shin, D.D.S

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.