Bo-Kwan Kang, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

030096 Issued in NY

Practice address

13620 Maple Ave Ste 501
Flushing, NY 11355-5167

Phone

(718) 799-0876

Fax

(917) 588-2811

NPI assigned

Apr 29, 2009

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Life Synergy Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1508283987
  Medicare reassignment Authorized official
• Namyoung Baek Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1669859492
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1649414046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 501",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-799-0876",
            "fax_number": "917-588-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 MAPLE AVE STE 501",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555167",
            "telephone_number": "718-799-0876",
            "fax_number": "917-588-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "BO-KWAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Kandov I
• Kaneda Pharmacy, LLC
• Kang Hua Adult Daycare Center Inc
• Kang Lan Medical PLLC
• Baik Hyun Kang, MD
• Byung C. Kang, D.O.
• Christine Kang, M.D., M.H.S., M.S.
• Hea-Shin Kang, M.D.
• Hyejung Kang, DMD
• Hyohun Kang

• Physical Therapist in Flushing, NY
• Providers in Flushing, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.