Active NPI
Sung D Kim, PT, DPT
- Physical Therapist
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH8243
- 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, 2018
- Sex
- Male
- 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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur ENT Associates P C | Current | Accepting new patients | |
| The Orthopaedic Center | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Current | 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
- 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.
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Facial Plastic Surgery Physician
- Decatur, AL
- NPI 1164487708
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
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.