NA-Hyeon Ko, PT, PHD

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

39751 Issued in CA

Practice address

2700 N Main St
Suite 945
Santa Ana, CA 92705-6634

Phone

(714) 542-1234

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Progress Speech & Language Pathology Center, Inc.

  • Speech-Language Pathologist
  • Anaheim, CA
  • NPI 1609273234
  NPD (past)
• Total Education Solutions Inc

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1659535052

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1174833313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 FULLERTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212333",
            "telephone_number": "646-330-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N MAIN ST",
            "address_2": "SUITE 945",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056634",
            "telephone_number": "714-542-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "NA-HYEON",
        "credential": "PT, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "031330-1",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "39751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Ko
• Joe D Ko I, DDS
• John Matthew Ko, MA
• Jounghwa Ko
• Michael S Ko, DPT
• Melissa Koba
• Kobayashi Chiropractic PC
• Kailyn Kocher
• Susan Akemi Kodaira, P.T.
• Kodiak HME LLC

• Pediatric Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.