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

Jiho Chung

Individual provider Physical Therapist · NPI 1104620186

Jiho Chung is a Physical Therapist in Private Practice in Modesto, California. Qualified in 2024, 2 years ago. Practices with Select Cs Physical Therapy PC, a 174-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

2112 McHenry Ave Ste B
Modesto, CA 95350-3261
Phone: (209) 572-2114
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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 308197 (CA)

Record details

NPI number1104620186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Select Cs Physical Therapy Pc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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