Active NPI
Christen Yi, DPT
- Physical Therapist
- Suwanee, GA
National Provider Identifier
1851122188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017223
- Practice address
- 1291 Old Peachtree Rd NW Ste 423
Suwanee, GA 30024-2033 - Phone
- (770) 945-9035
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017223 | GA | Primary |
Addresses
Primary practice location
1291 Old Peachtree Rd NW Ste 423
Suwanee, GA 30024-2033
Mailing address
200 Glenmoor Path
Alpharetta, GA 30005-4639
Phone (678) 790-2003
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT017223 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jong Kyu Kim, D.C., P.C. | Physical Therapist | Current | Accepting new patients |
Locations
1291 Old Peachtree Rd NW
Ste 423
Suwanee, GA 30024
Phone (770) 945-9035
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1851122188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GLENMOOR PATH",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054639",
"telephone_number": "678-790-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 OLD PEACHTREE RD NW STE 423",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242033",
"telephone_number": "770-945-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "CHRISTEN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.