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

Kyonghun Chong, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1104466655

Kyonghun Chong, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Suwanee, Georgia. Qualified in 2017, 9 years ago. Practices with J and J Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740
Phone: (770) 591-8797
Fax: (770) 209-3767
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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 PT014590 (GA)

Record details

NPI number1104466655
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJanuary 13, 2020
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice J And J Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suwanee