Eric Kwon, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205047 Issued in VA

Practice address

611 S Carlin Springs Rd
505
Arlington, VA 22204-1064

Phone

(703) 820-5840

NPI assigned

Sep 27, 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

Other names 1

• Tae Kwon Other name

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.

• Legacy Healthcare Services, Inc

  dba Legacy Healthcare @ Grand Oaks

  • Physical Therapist
  • Washington, DC
  • NPI 1255750030
  NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1376151811
  NPD

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1891982401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 N GLEBE RD",
            "address_2": "814",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "address_2": "505",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-820-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "ERIC",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAE",
            "last_name": "KWON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcelo Kuperschmit, M.D.
• Shyam Kurian, MD
• Syeda Kutub, O.D.
• Susan Kayleen Kutz, PA-C
• David S. Kwon, M.D.
• Joyce Hollander Kyle, DDS, FAGD
• La3 Homecare Solutions
• Michelle Lablanc
• Cesar Laboy
• Karla Isabel Lacayo, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.