Christina Sukjin Kwon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61389178 Issued in WA

Practice address

1495 NW Gilman Blvd Ste 4
Issaquah, WA 98027-5328

Phone

(425) 392-2346

NPI assigned

Mar 6, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sound Children'S Therapy PLLC

  • Speech-Language Pathologist
  • Mercer Island, WA
  • NPI 1184190795
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1235839564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16556 SE 50TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD STE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275328",
            "telephone_number": "425-392-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "CHRISTINA",
        "middle_name": "SUKJIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61389178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Leigh Kulik, D.C.
• Swara Yogesh Kulkarni
• Lisa Kumcur
• Karl Frederick Kundert Jr., PA-C
• Leah Kuriyama
• Yong Kwon, O.D
• Marilyn Ann Lacelle, MSW
• Kara Lackowski, MSOT
• Lake Sammamish Family Dentistry
• Lake Sammamish Physical Therapy, PLLC

• Occupational Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.