Individual provider Active NPI

Sung D Kim, PT, DPT

  • Physical Therapist
  • Decatur, AL
National Provider Identifier
1851833776
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8243 Issued in AL
Practice address
1218 13TH Ave SE
Decatur, AL 35601
Phone
(256) 351-5015
Fax
(256) 351-5016
NPI assigned
Nov 9, 2016
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 PTH8243 AL Primary

Addresses

Primary practice location

1218 13TH Ave SE
Decatur, AL 35601

Mailing address

1218 13TH Ave SE
Decatur, AL 35601-4307
Phone (256) 351-5015

Other practice location 1

8475 Wann Dr
Madison, AL 35758
Phone (256) 704-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126002405 AL Practitioner - Physical Therapist in Private Practice 4082996046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

Practice addresses (Care Compare)

303 Beltline PL SW
Suite A1
Decatur, AL 35603-1716
Phone (256) 529-2728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur ENT Associates P C CurrentSince Nov 22, 2018 Accepting new patients
The Orthopaedic Center CurrentSince Nov 7, 2016 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Sep 23, 2023 Accepting new patients

Locations

1218 13th Ave SE
Decatur, AL 35601
Phone (205) 355-6200

303 Beltline Pl SW
Ste A1
Decatur, AL 35603
Phone (256) 529-2728

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

927 Franklin St SE
Fl 4
Huntsville, AL 35801

8475 Wann Dr NW
Madison, AL 35758
Phone (256) 539-2738

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1851833776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014307",
            "telephone_number": "256-351-5015",
            "fax_number": "256-351-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-351-5015",
            "fax_number": "256-351-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8475 Wann Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "35758",
            "country_code": "US",
            "telephone_number": "256-704-1700",
            "fax_number": "256-704-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUNG",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.