Active NPI
Heon Young Jang, PT
- Physical Therapist
- Washington, DC
National Provider Identifier
1477729929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT870834
- Practice address
- 2041 Martin Luther King Jr Ave SE
Suite 106
Washington, DC 20020 - Phone
- (202) 610-0260
- Fax
- (202) 610-0261
- NPI assigned
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT870834 | DC | Primary |
Addresses
Primary practice location
2041 Martin Luther King Jr Ave SE
Suite 106
Washington, DC 20020
Mailing address
2041 Martin Luther King Jr Ave SE
Suite 106
Washington, DC 20020
Phone (202) 610-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessous & Kessous MD PC | Current | Accepting new patients | |
| DC Pain Center Inc | Physical Therapist | Past | Accepting new patients |
Locations
800 S Frederick Ave
Ste 110
Gaithersburg, MD 20877
Phone (301) 208-2273
11120 New Hampshire Ave
Ste 411
Silver Spring, MD 20904
Phone (301) 754-0505
Interoperability endpoints
- heon.young.jang.1@15259.direct.athenahealth.com
- heon.young.jang.2@15259.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Montgomery Medical Clinic
- Internal Medicine Physician
- Gaithersburg, MD
- NPI 1447636048
DC
-
- Physical Therapist
- Washington, DC
- NPI 1578697710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1477729929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE",
"address_2": "SUITE 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20020",
"telephone_number": "202-610-3333",
"fax_number": "202-610-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MARTIN LUTHER KING JR AVE SE",
"address_2": "SUITE 106",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20020",
"telephone_number": "202-610-0260",
"fax_number": "202-610-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "HEON YOUNG",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.