Ilseong Song, PT, DPT
NPI 1871050245 · Physical Therapist · San Diego, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ilseong Song, PT, DPT is a Physical Therapist provider in San Diego, CA (NPI 1871050245).
Provider details
- NPI number
- 1871050245
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 295985 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3959 Ruffin Rd Ste JSan Diego, CA 92123-1830Phone: (858) 279-5570
- 3145 Rosecrans St Ste FSan Diego, CA 92110-4831Phone: (619) 223-7175
Registry dates
- Enumerated
- 2019-02-21
- Last updated
- 2023-09-26
Frequently asked questions
- What is Ilseong Song's NPI number?
- Ilseong Song's National Provider Identifier (NPI) is 1871050245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilseong Song's specialty?
- Ilseong Song is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ilseong Song located?
- Ilseong Song's practice location on file with NPPES is 7340 Miramar Rd Ste 210, San Diego, CA 92126-4224.
- What is Ilseong Song's phone number?
- The practice phone number listed in the NPPES registry for Ilseong Song is (858) 284-1133.
- Does Ilseong Song accept Medicare?
- Ilseong Song is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ilseong Song's NPI active?
- Yes — Ilseong Song's NPI (1871050245) is active in the NPPES registry as of the last update on 2023-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.