Kenneth Tri Luong, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104-557821 Issued in VA

Practice address

14535 John Marshall Hwy Ste 104
Gainesville, VA 20155-4024

Phone

(703) 753-0974

Fax

(703) 753-9709

NPI assigned

Apr 22, 2022

Last updated

May 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced PT and Rehabilitation Inc

  • Physical Therapist
  • Gainesville, VA
  • NPI 1295717726
  NPD

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1043954431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554023",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 JOHN MARSHALL HWY STE 104",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554024",
            "telephone_number": "703-753-0974",
            "fax_number": "703-753-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "KENNETH",
        "middle_name": "TRI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104-557821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malik Lowe, DDS
• Ronice Lowe, RN-BSN
• Andrea Lowenstein
• Caitlin Kievenaar Lucas, PT, DPT, MS, ATC
• Pamela Lucas
• Ronald Franklin Luxenburg, O.D.
• Luxottica of America Inc. (Target Optical #2114)
• Luxottica of America Inc. (Lenscrafters at Macy's #3968)
• Samuel Lwanyaga, AGPCNP
• Susanne Blanchette Mackie-Lee, MD MPH

• Sports Physician Chiropractor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.