Young Jin Kwon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040981-1 Issued in NY

Practice address

30A Main Pkwy
Plainview, NY 11803-2131

Phone

(516) 265-1864

Fax

(646) 797-2098

NPI assigned

Feb 18, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1417580440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30A MAIN PKWY",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032131",
            "telephone_number": "516-265-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30A MAIN PKWY",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032131",
            "telephone_number": "516-265-1864",
            "fax_number": "646-797-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "YOUNG JIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040981-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tal Kupperman, D.P.T.
• Philip Kurlander, M.D.
• Mindy B. Kurtzman, M.ED - LICENSED SPEE
• Colby Kusinitz, EMT
• Nicole M Kutchenrider, PA-C
• Kyurim Acupuncture P.C
• L I Physical Therapy & Wellness PLLC
• L.I. Office-Based Surgery, PLLC
• Danielle Labib, M.D.
• Laboratory Corporation of America Holdings

• Physical Therapist in Plainview, NY
• Providers in Plainview, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.