Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Youngsun Kim, DPT, OCS, SCS, MTC

Individual provider Physical Therapist · NPI 1124549134

Dr. Youngsun Kim, DPT, OCS, SCS, MTC is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2001, 25 years ago. Practices with Kim Physical Therapy Associates PC, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11717 Sorrento Valley Rd
San Diego, CA 92121-1004
Phone: (858) 847-2025
Fax: (844) 270-6457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30189 (CA)

Record details

NPI number1124549134
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , SCS , MTC
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 30, 2024
Certification dateJune 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kim Physical Therapy Associates Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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