Healthcare Provider Details

I. General information

NPI: 1336789023
Provider Name (Legal Business Name): TOP PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2020
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7160 CRADLEROCK WAY
COLUMBIA MD
21045-5064
US

IV. Provider business mailing address

9041 SUNNI SHADE CT
PERRY HALL MD
21128-9222
US

V. Phone/Fax

Practice location:
  • Phone: 412-979-5025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HYUNGEUN KIM
Title or Position: CEO
Credential: PT
Phone: 412-979-5025