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

Minsuk Song, DPT

Individual provider Physical Therapist · NPI 1871073288

Minsuk Song, DPT is a Physical Therapist in Private Practice in Cumming, Georgia. Qualified in 2013, 13 years ago. Practices with Emory Physical Therapy, LLC, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2018
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

3480 Keith Bridge Rd Ste C2
Cumming, GA 30041-5570
Phone: (678) 455-8773
Fax: (678) 455-5778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 771 Old Norcross Rd Ste 390, Lawrenceville, GA 30046-4324 — (678) 957-0757

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013571 (GA)

Record details

NPI number1871073288
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2018
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Emory Physical Therapy, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Cumming