Individual provider Active NPI

Urian Kyung

  • Physical Therapist
  • Twentynine Palms, CA
National Provider Identifier
1801652490
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22944 Issued in NC
Practice address
5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone
(760) 367-1743
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 P22944 NC Primary

Addresses

Primary practice location

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Mailing address

209 Brown Rd
Hendersonville, NC 28791-9076
Phone (828) 489-9297

Other practice location 1

209 Brown Rd
Hendersonville, NC 28791-9076
Phone (828) 489-9297

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604002792 CA Practitioner - Physical Therapist in Private Practice 3072055151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H D P R G IncGroup PAC ID 3678465564, 16 clinicians

Practice addresses (Care Compare)

5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone (760) 367-1743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22944NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
H.D.P.R.G., Inc Physical Therapist CurrentSince Apr 6, 2024 Accepting new patients

Locations

5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743

56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1801652490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BROWN RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287919076",
            "telephone_number": "828-489-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "760-367-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287919076",
            "country_code": "US",
            "telephone_number": "828-489-9297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYUNG",
        "first_name": "URIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.