Hyun Chung, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT7337 Issued in CA

Practice address

1180 Cornwell Dr
Fullerton, CA 92833-5759

Phone

(714) 222-0711

NPI assigned

Dec 2, 2011

Reactivated

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Sung J Kim Physical Therapy ApcGroup PAC ID 9032474960, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sung J. Kim Physical Therapy, Apc

  dba JK Prorehab

  • Physical Therapy Clinic/Center
  • Fullerton, CA
  • NPI 1538656012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1932477148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 CORNWELL DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335759",
            "telephone_number": "714-222-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 CORNWELL DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335759",
            "telephone_number": "714-222-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HYUN",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "deactivation_date": "2022-07-27",
        "reactivation_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT7337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Chun, M.D.
• Kay Chun, HIS
• Alexander Chung, PHARM.D.
• CHI Hung Mike Chung
• Fangli Chung, L.AC.
• Jinwoo Chung
• Kimi Kyungri Chung, MS, CCC-A
• Minsun Chung
• Paul S Chung, M.D.
• Yang Chung, DDS

• Occupational Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.