Miran Kwon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22347 Issued in MA

Practice address

320 Washington St Ste C
Brookline, MA 02445-6873

Phone

(617) 879-1599

Fax

(617) 879-1607

NPI assigned

Aug 28, 2016

Last updated

Apr 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allcare Physical Therapy IncGroup PAC ID 5597117788, 2 clinicians

Practice addresses (Care Compare)

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.

• Allcare Physical Therapy Inc

  dba AllCare Physical Therapy

  • Physical Therapist
  • Lansdale, PA
  • NPI 1871367128
  Medicare reassignment Care Compare group NPD
• Top Spine & Joint Physical Therapy Inc

  • Physical Therapist
  • Brookline, MA
  • NPI 1407355944
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1083160311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST STE C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456873",
            "telephone_number": "617-879-1599",
            "fax_number": "617-879-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WASHINGTON ST STE C",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456873",
            "telephone_number": "617-879-1599",
            "fax_number": "617-879-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Washington St",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457130",
            "country_code": "US",
            "telephone_number": "617-992-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "MIRAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M Kurys, LICSW
• Michael Joseph Kushner, MSW
• Belinda Kussman, LICSW
• Hyejin Kwak, DMD
• Diane T Kwasnick, EDD
• Kyoko Okamura MD PC
• Kyoko Okamura, MD, MPH
• Denise Kyte
• L. Ioana Chirieac, MD, PC
• Jordanna Miriam L'Esperance, PSYD

• Physical Therapist in Brookline, MA
• Providers in Brookline, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.