Benjamin Kong, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302375 Issued in CA

Practice address

3900 Garfield Ave
Carmichael, CA 95608-6647

Phone

(916) 481-6455

NPI assigned

Feb 21, 2024

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1619733342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 GIBBONS PKWY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082247",
            "telephone_number": "916-468-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 GARFIELD AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086647",
            "telephone_number": "916-481-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "BENJAMIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Klein Jr., M.D.
• Kristen Knight
• Caroline Alyce Knoll, CRNA
• Michael Timothy Koch, D.D.S.
• Peter Kolbeck, M.D.
• Danton Kono, M.D.
• Susan Shanahan Kostecki, RN, CNNP
• Nathan M Kostiv, NNP-BC
• Herman Kothe IV, LCSW
• Vita Koval

• Physical Therapist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.