Soo Chan Kim
Physical Therapist · Reston, VA
Soo Chan Kim is a physical therapist with a practice address in Reston, Virginia, and NPI 1609752666, issued on Aug 14, 2025. Check the license (Virginia 2305217403, as entered in NPPES) with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Soo Chan Kim
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 2305217403 VA
Self-reported in NPPES; status is on the state search - Practice location
- 11490 Commerce Park Dr Ste 412, Reston, VA 20191
- Phone
- (703) 564-4636
- Enumerated
- Aug 14, 2025
- Record last updated
- Oct 8, 2025
- Medicare enrollment
- Enrolled (PECOS I20250929002035); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 6,893 in Virginia → Look up another NPI →
Verify Soo Chan Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license 2305217403Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Soo Chan Kim among 6,893 physical therapist records in Virginia
Soo Chan Kim is one of 6,893 physical therapist records with a practice address in Virginia. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 93% of them.
- NPI issued2025 · 93% of these records are older, 3% newer
- In a Medicare fileNo · 34% of these records are
- In the CMS Doctors and Clinicians fileYes · 36% of these records are
- Graduated2025 · median 2016 among the 2,465 with a school on file
- Record last updated2025 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
97 physical therapist records list a practice address in Reston
They are 97 of the 1,676 NPPES records with a practice address in Reston, and 6,893 physical therapist records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 6,893 in Virginia → Every provider in Reston → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Jill Alloway, DPTReston, VA 201911306140272
- Richard Banton, DPT, ATCReston, VA 201911164504601
- Tracy Boles, DPTReston, VA 201911225337223
- Lourdes Carbon, PTReston, VA 201911942731146
- Melissa Conway, DPTReston, VA 201911861901415
- Kevin DandyReston, VA 201911912079310
- John Fainsan, MSPT, CSCSReston, VA 201911548211840
- Earl Grine, PT, MSPT, ATC, CSCSReston, VA 201911346323474
Common questions
What is Soo Chan Kim's NPI number?
Soo Chan Kim's National Provider Identifier (NPI) is 1609752666, issued on Aug 14, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Soo Chan Kim located?
The NPPES record lists a practice address at 11490 Commerce Park Dr Ste 412, Reston, VA, 20191. Phone: (703) 564-4636. Providers update this record themselves, so call before visiting.
How can I verify Soo Chan Kim's license?
NPPES lists Virginia license number 2305217403, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.