Individual provider Active NPI

Christopher Kwon, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1790284446
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294435 Issued in CA
Practice address
3661 Torrance Blvd Ste 202
Torrance, CA 90503-4812
Phone
(310) 316-8878
Fax
(310) 316-8879
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294435 CA Primary

Addresses

Primary practice location

3661 Torrance Blvd Ste 202
Torrance, CA 90503-4812

Mailing address

3878 W Carson St Ste 101
Torrance, CA 90503-6707
Phone (310) 316-8878

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327001465 CA Practitioner - Physical Therapist in Private Practice 0941562268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparc Physical Therapy, Inc.Group PAC ID 1951730019, 7 clinicians

Practice addresses (Care Compare)

3878 W Carson St
Suite 101
Torrance, CA 90503-6707
Phone (310) 316-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294435CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparc Physical Therapy, Inc. Physical Therapist CurrentSince Feb 2, 2020 Accepting new patients

Locations

3878 W Carson St
Ste 101
Torrance, CA 90503
Phone (310) 316-8878

3661 Torrance Blvd
Ste 202
Torrance, CA 90503
Phone (310) 316-8878

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1790284446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 W CARSON ST STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036707",
            "telephone_number": "310-316-8878",
            "fax_number": "310-316-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034812",
            "telephone_number": "310-316-8878",
            "fax_number": "310-316-8879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.