Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eungsoo Shin

Individual provider Physical Therapist · NPI 1548706690

Eungsoo Shin is a Physical Therapist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Connecticut, Illinois, New Mexico and New York.

Licensed in
CT, IL, NM, NY
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

1520 NW 125th Ave Apt 10301
Sunrise, FL 33323-5241
Phone: (954) 994-6987
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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 070021859 (IL)
Physical Therapist Taxonomy 225100000X · Licence 10356 (CT)
Physical Therapist Taxonomy 225100000X · Licence 034310 (NY)
Physical Therapist Taxonomy 225100000X · Licence 4575 (NM)

Record details

NPI number1548706690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017
Mailing address1520 Nw 125th Ave Apt 10301, Sunrise, FL 33323-5241

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