Asian Network Physical Therapy and Rehabilitation

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ASIAN NETWORK PHYSICAL THERAPY AND REHABILITATION

Practice address

821 Harrison St
Oakland, CA 94607-4422

Phone

(510) 268-1118

Fax

(510) 268-0111

NPI assigned

Oct 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Ivy Yip Kwong, PT,DPT,MPANPI 1063509040

Title

Financial Officer

Phone

(510) 268-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033295449. Details of each certification follow.

• CCN 054526 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 054526

Legal name

ASIAN NETWORK PHYSICAL THERAPY

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Dec 13, 1994

Last certification

Dec 16, 2015

Ownership / control type

Proprietary

Facility address

821 Harrison Street
Oakland, CA 94607

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy Yip Kwong, DPT

  • Physical Therapist
  • San Francisco, CA
  • NPI 1063509040
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033295449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-268-1118",
            "fax_number": "510-268-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-268-1118",
            "fax_number": "510-268-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN NETWORK PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "YIP",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "510-268-1118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT,DPT,MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "REH04526F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asian Health Services - Behavior Services
• Asian Health Services - CPHW
• Asian Health Services -Youth Group
• Asian Network Hospice
• Asian Network Pacific Home Care, Inc (Pacific Home Care)
• Edgar Asiimwe
• Abegail Mercado Asino
• Askari and Sahabi Dental Partnership
• Alan Askew
• Anna Pope Askew

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Oakland, CA
• Providers in Oakland, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.