Kwang Y Yi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204167 Issued in VA

Practice address

14631 Lee Hwy
Suite 115
Centreville, VA 20121-5824

Phone

(703) 825-7130

NPI assigned

Jan 5, 2007

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

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alpha Physical Therapy Accupuncture and Herbs Center. LLC

  • Physical Therapy Clinic/Center
  • Fairfax, VA
  • NPI 1801930631

  DC, Physical Therapist

  Medicare reassignment NPD Authorized official
• Blessed Acupuncture LLC

  • Acupuncturist
  • Centreville, VA
  • NPI 1174281737
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1831246107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13452 STREAM VALLEY DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512624",
            "telephone_number": "703-961-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 LEE HWY",
            "address_2": "SUITE 115",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215824",
            "telephone_number": "703-825-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "KWANG",
        "middle_name": "Y",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth R Wilhelm, DPM
• Jennifer Kay Wisthoff, MA CCC-SLP
• Dana Witmer, MD
• Trisha Yamamoto, D.C.
• Clara Myung-Hee Yi, L. AC
• Yk Dental Centreville PC (YK Dental Care)
• Wang Young Yoo, DIPL. OM, L.AC, PHD
• Heather Hyeonmi Yoon, DDS
• Jaewon Yoon, D.M.D.
• Tracey Sue Yost, OTR/L

• Physical Therapist in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.