Kwangyo Kang

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292759 Issued in CA

Practice address

25301 Cabot Rd Ste 111
Laguna Hills, CA 92653-5511

Phone

(949) 691-9795

Fax

(949) 763-3070

NPI assigned

Dec 6, 2017

Sex

Male

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Kang Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Laguna Hills, CA
  • NPI 1629623186

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Fast Recovery Home Health Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1639661408

  Physical Therapist

  Medicare reassignment NPD
• Restorative Therapy Associates

  • Physical Therapist
  • Irvine, CA
  • NPI 1902102023
  Medicare reassignment

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1134634603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25301 CABOT RD STE 111",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-691-9795",
            "fax_number": "949-763-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 CABOT RD STE 111",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-691-9795",
            "fax_number": "949-763-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "KWANGYO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Kamieniecki
• Carol M Kaminskas, MD
• Adriana Sarah Kane, FNP
• Kang Physical Therapy Inc.
• James Kiho Kang, DMD
• Payam Karami
• Arda Kardjian, RN, BSN
• Karin Draper, LMFT
• Karis Acupuncture Clinic Inc
• Karl D. Bassler, M.D, Inc

• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.