Individual provider · Type 1 NPI

Sophia Jung, PT, DPT, ATC

Pediatric Physical Therapist · Waconia, MN

NPI number 1396203055 Active

Practice location

9346 Oak Ave
Waconia, MN 55387-9422

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

145 other providers at this address

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About NPI 1396203055

Sophia Jung, PT, DPT, ATC's National Provider Identifier is 1396203055, issued on Mar 12, 2019. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Waconia, MN. The record was last updated on Nov 3, 2025.