Individual provider Active NPI

Minsuk Song, DPT

  • Physical Therapist
  • Duluth, GA
National Provider Identifier
1871073288
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013571 Issued in GA
Practice address
3305 Peachtree Industrial Blvd Ste 800
Duluth, GA 30096-2630
Phone
(352) 507-9362
NPI assigned
Aug 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 PT013571 GA Primary

Addresses

Primary practice location

3305 Peachtree Industrial Blvd Ste 800
Duluth, GA 30096-2630

Mailing address

205 Annahey Cir
Sugar Hill, GA 30518-1193

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926000687 GA Practitioner - Physical Therapist in Private Practice 1456602747 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013571GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Jan 7, 2026 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jan 7, 2026 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jul 6, 2020 Accepting new patients
MCM Rehabilitation LLC CurrentSince Apr 19, 2021 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 12, 2025 Accepting new patients
Benchmark Physical Therapy, Inc Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

5665 Highway 9 N
Ste 102A
Alpharetta, GA 30004
Phone (770) 625-2616

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

5748 Old Winder Hwy
Ste 400
Braselton, GA 30517

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

3647 Browns Bridge Rd
Ste 105B
Cumming, GA 30028
Phone (678) 208-3188

3480 Keith Bridge Rd
Ste C2
Cumming, GA 30041
Phone (678) 455-8773

1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

12 Dawson Market Way
Ste 320
Dawsonville, GA 30534
Phone (470) 759-2415

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

5855 State Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 225-0732

7775 McGinnis Ferry Rd
Ste 103
Johns Creek, GA 30024
Phone (678) 537-6881

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3154 Johnson Ferry Rd
Ste 100
Marietta, GA 30062
Phone (678) 256-0758

13075 Highway 9 N
Ste 120
Milton, GA 30004
Phone (678) 225-6861

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

920 Marietta Hwy
Ste 340
Roswell, GA 30075
Phone (470) 857-3604

2780 W Village Dr
Ste G
Suwanee, GA 30024
Phone (470) 533-4610

4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cr
Chicago, IL 60674

Organizations & group practices 11

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1871073288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ANNAHEY CIR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305181193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 PEACHTREE INDUSTRIAL BLVD STE 800",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962630",
            "telephone_number": "352-507-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "MINSUK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-15",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.