Active NPI
Core Physical Therapy & Rehab., P.C.
- Physical Therapy Clinic/Center
- Chantilly, VA
National Provider Identifier
1992167373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2305208494
- Legal business name
- CORE PHYSICAL THERAPY & REHAB., P.C.
- Practice address
- 14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225 - Phone
- (703) 865-6455
- Fax
- (703) 649-6455
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Woogi Kim
- Title
- President
- Phone
- (703) 395-1305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 2305208494 | VA | Primary |
Addresses
Primary practice location
14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225
Mailing address
14153 Robert Paris CT Ste a
Chantilly, VA 20151-4225
Phone (703) 865-6455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407284714 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6860 Commercial Dr
Unit C
Springfield, VA 22151
Phone (703) 395-1305
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1992167373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14153 ROBERT PARIS CT STE A",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201514225",
"telephone_number": "703-865-6455",
"fax_number": "703-649-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14153 ROBERT PARIS CT STE A",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201514225",
"telephone_number": "703-865-6455",
"fax_number": "703-649-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE PHYSICAL THERAPY & REHAB., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "WOOGI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-395-1305"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "VA",
"license": "2305208494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407284714",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chantilly, VA
- Patricia Susana Contreras, PSY. D
- Hannah Conway
- Margaret Kerr Cook, LPC, LSATP
- Coram Healthcare Corporation of Greater D.C.
- Core Integrative Care & Wellness, Inc.
- Bethany Corliss, PHD
- Diana Carolina Correa Cabrera
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.