Hae Yoon Kwon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH3962 Issued in AL

Practice address

1310 Alford Ave
Suite 102
Hoover, AL 35226-3199

Phone

(205) 824-8850

Fax

(205) 824-8853

NPI assigned

Jan 9, 2007

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

Other identifiers 1

Other names 1

• Hae Kwon Bishop Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P4 Physical Therapy Limited PartnershipGroup PAC ID 3779950647, 64 clinicians

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.

• P4 Physical Therapy Limited Partnership

  • Physical Therapist
  • Winfield, AL
  • NPI 1568195386
  Medicare reassignment Care Compare group NPD
• A.C.T. Physical Therapy. LLC

  • Physical Therapist
  • Hoover, AL
  • NPI 1326133463
  Medicare reassignment NPD
• P4 Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1467228676

  Physical Therapist

  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1487703310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241708",
            "telephone_number": "205-624-2436",
            "fax_number": "205-624-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 ALFORD AVE",
            "address_2": "SUITE 102",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263199",
            "telephone_number": "205-824-8850",
            "fax_number": "205-824-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "HAE",
        "middle_name": "YOON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051513721KWO",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAE",
            "last_name": "BISHOP",
            "middle_name": "KWON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason John Koenig, D.C.
• Ritu Koirala, DPT
• Michael G Koslin, D.M.D.
• Codie Kramer
• Kulturecity
• La Farmacia Pharmacy Inc (La Farmacia Pharmacy)
• Laboratory Corporation of America Holdings
• Bryan Joseph Ladislas, DPT
• Katherine Lalisan, R.D.N.
• Lois G Lambert, LPC

• Physical Therapist in Hoover, AL
• Providers in Hoover, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.