Kang Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT28081 Issued in CA

Legal business name

KANG PHYSICAL THERAPY

Practice address

2112 Eastman Ave
Suite 101
Ventura, CA 93003-5773

Phone

(805) 658-8300

Fax

(805) 658-8318

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Chang Yun Kang, DPT

Title

Owner

Phone

(805) 205-3667

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1487736674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 EASTMAN AVE",
            "address_2": "SUITE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035773",
            "telephone_number": "805-658-8300",
            "fax_number": "805-658-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 EASTMAN AVE",
            "address_2": "SUITE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035773",
            "telephone_number": "805-658-8300",
            "fax_number": "805-658-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANG PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CHANG YUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-205-3667",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT28081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT28081",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT28451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaja Medical Equipment and Supply Inc
• Albert Kam, M.D.
• Brooklyn Sage Kanady
• Elena Kanani Kanahuna
• Janelle Michiko Kanemasu-Mar
• Joseph Kang, D.O.
• Lesa Kang, O.D.
• Seong Kang, M.D.
• Bess Kaplan
• Matthew Kappen, M.D.

• Orthopedic Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.