Sung-Zoon Samuel Kang, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21189 Issued in MD

Practice address

4084 University Dr
#103
Fairfax, VA 22030-6803

Phone

(703) 896-9999

Fax

(703) 896-9998

NPI assigned

Dec 18, 2006

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bodies in Motion Physical Therapy III, LLCGroup PAC ID 3971627753, 7 clinicians

Practice addresses (Care Compare)

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.

• Bodies in Motion Physical Therapy III, LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1952629123

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1982767455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR",
            "address_2": "#103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-896-9999",
            "fax_number": "703-896-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR",
            "address_2": "#103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-896-9999",
            "fax_number": "703-896-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "SUNG-ZOON",
        "middle_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dongho Kang, DMD
• Ghana Kang, M.D.
• Mi Hwa Kang, M.D.
• Min Koo Kang, D.C.
• Minku Kang
• Yu Jin Kang, CCC-SLP
• Bettina Kanitz
• Jennifer Kannan, PA-C
• Scott D Kantor, MD
• Arjun Kanwal, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.