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

Sophia Jung, PT, DPT, ATC

Individual provider Pediatric Physical Therapist · NPI 1396203055

Sophia Jung, PT, DPT, ATC is a Physical Therapist in Private Practice in Waconia, Minnesota. Qualified in 2024, 2 years ago. Works from 2 locations.

Years since qualifying
2
In the registry since
2019
Specialties on file
2
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9346 Oak Ave
Waconia, MN 55387-9422
Phone: (952) 223-2506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4530 Northern Sky Dr, Bismarck, ND 58503-8534 — (701) 255-7500

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396203055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

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)
Accepts Medicare assignment Not indicated

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