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

Eungsoo Shin

Individual provider Physical Therapist · NPI 1548706690

Eungsoo Shin is a Physical Therapist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Connecticut, Illinois, New Mexico and New York.

Licensed in
CT, IL, NM, NY
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

1520 NW 125th Ave Apt 10301
Sunrise, FL 33323-5241
Phone: (954) 994-6987
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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 070021859 (IL)
Physical Therapist Taxonomy 225100000X · Licence 10356 (CT)
Physical Therapist Taxonomy 225100000X · Licence 034310 (NY)
Physical Therapist Taxonomy 225100000X · Licence 4575 (NM)

Record details

NPI number1548706690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 12, 2017
Last updated in NPPESJanuary 12, 2017

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