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

Soohan Kim, PT, DPT

Individual provider Physical Therapist · NPI 1659846020

Soohan Kim, PT, DPT is a Physical Therapist in Private Practice in Buford, Georgia. Qualified in 2018, 8 years ago. Practices with Tc Time, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4510 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone: (770) 945-1045
Fax: (770) 945-5745
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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 PT013837 (GA)

Record details

NPI number1659846020
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 11, 2018
Last updated in NPPESJanuary 29, 2019
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tc Time, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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