Individual provider Active NPI

Christen Yi, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1851122188
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017223 Issued in GA
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT017223GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jong Kyu Kim, D.C., P.C. Physical Therapist CurrentSince Aug 11, 2024 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.

Verify at the official NPI Registry.