Kyoung Koon Kong, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302787 Issued in CA

Practice address

2888 Long Beach Blvd Ste 405
Long Beach, CA 90806-1551

Phone

(562) 595-4489

NPI assigned

Aug 30, 2022

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapist
  • Baldwin Park, CA
  • NPI 1437666443
  NPD

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1669192613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 ARAPAHOE ST APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065747",
            "telephone_number": "213-760-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 405",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061551",
            "telephone_number": "562-595-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "KYOUNG KOON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K. Komure, MD
• Darissa S Kon, MD
• Leanne Mayumi Kon, M.D.
• Jiri Konecny, DO
• James Ian T Kong, RPT
• Ladylyn Kong
• Richard Kong, DDS
• Anne Konigsberg, LCSW, BCD
• Anthony Konstantinidis
• Konstantinos Vlachonassios MD Inc

• Physical Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.