Kiseok Kwon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013151 Issued in GA

Practice address

3473 Satellite Blvd
Duluth, GA 30096-8690

Phone

(909) 747-8205

NPI assigned

Sep 10, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Kwon Physical Therapy LLCGroup PAC ID 0941688311, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19461/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dongik Shin, PT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1730585597
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kwon Physical Therapy LLC

  dba Fit In Motion Physical Therapy

  • Physical Therapist
  • Duluth, GA
  • NPI 1154932200
  Medicare reassignment Care Compare group NPD Authorized official
• North of Atlanta Pain Clinic, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Duluth, GA
  • NPI 1821535154
  NPD (past)
• Fit in Motion TN LLC

  • Physical Therapist
  • Nashville, TN
  • NPI 1821804154
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508234311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MCDANIEL RD APT 8306",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968646",
            "telephone_number": "909-747-8205",
            "fax_number": "888-343-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3473 SATELLITE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968690",
            "telephone_number": "909-747-8205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8007 Corporate Dr",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212364905",
            "country_code": "US",
            "telephone_number": "410-256-8511",
            "fax_number": "410-256-1810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "KISEOK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farida Kwaji, M.D.
• Sang Chol Kwak, D.D.S.
• Garrick Kaluen Kwok, M.D.
• Kwon Physical Therapy LLC (Fit In Motion Physical Therapy)
• Cho Ryon Kwon
• Hye Min Kye
• Olivia Rose La Plume
• Laboratory Corporation of America Holdings
• Lysbeth Caluya Lagat, RN
• Oi Lam Lai

• Physical Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.