SANG KWAK PHYSICAL THERAPY, INC. (NPI# 1003924697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003924697 |
| Entity Type | Organization |
| Organization Name | SANG KWAK PHYSICAL THERAPY, INC. |
| Practice Address |
12665 Garden Grove Blvd Suite 707 Garden Grove CA 92843-1921 |
| Practice Telephone | 7145371234 |
| Practice Fax Number | 7145373256 |
| Mailing Telephone | 7145371234 |
| Mailing Fax Number | 7145373256 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MR. SANG CHAE KWAK (PRESIDENT) |
| Authorized Official Telephone | 7145371234 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT30257 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3332040 | 05 |
| Street Address |
12665 GARDEN GROVE BLVD SUITE 707 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688572 | Douglas George Clark | Internal Medicine | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 | 2005-06-09 |
| 1467980854 | Jonathan S Warnelo | Internal Medicine | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1904 | 2017-05-30 |
| 1538518444 | Peter H. Dang, Dds, Inc. | Dentist | 12665 Garden Grove Blvd, #208, Garden Grove, CA 92843-1901 | 2016-06-10 |
| 1538529185 | Negin Behazin Md, A Med Corp | General Practice | 12665 Garden Grove Blvd, Suite 710, Garden Grove, CA 92843-1901 | 2016-02-24 |
| 1922467299 | Shieun Hong | Nurse Practitioner | 12665 Garden Grove Blvd, #503, Garden Grove, CA 92843-1901 | 2016-02-16 |
| 1427416841 | Vivien T Thach | Nurse Practitioner | 12665 Garden Grove Blvd, 502a, Garden Grove, CA 92843-1901 | 2016-01-29 |
| 1588033773 | Dr. Grace Guimei Yao, A Professional Corporation | Specialist | 12665 Garden Grove Blvd, Suite 600, Garden Grove, CA 92843 | 2015-09-18 |
| 1952781932 | Ali Fouladi, M.d., Inc. | Surgery | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1901 | 2015-06-04 |
| 1346637352 | Crystal Tong | Optometrist | 12665 Garden Grove Blvd, Ste 301, Garden Grove, CA 92843-1901 | 2015-04-17 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477852 | Khang Lai | Physical Therapist | 9681 Blake Ave, Garden Grove, CA 92844-2911 | 2020-08-11 |
| 1396382180 | Steven T Du | Physical Therapist | 10411 Dakota Ave, Garden Grove, CA 92843-3212 | 2019-11-29 |
| 1306492525 | Excel Rehab and Wellness | Physical Therapist | 8851 Garden Grove Blvd Ste 105, Garden Grove, CA 92844-1268 | 2019-08-13 |
| 1952874380 | Melissa Anne Mcfaul | Physical Therapist | 12321 Helene Cir, Garden Grove, CA 92845-1923 | 2019-01-08 |
| 1215465166 | Joseph Slgee Kim | Physical Therapist | 12465 Lewis St Ste 101, Garden Grove, CA 92840-4658 | 2017-05-23 |
| 1942743174 | Huy Kien Vo | Physical Therapist | 14381 Lyndon St, Garden Grove, CA 92843-4636 | 2016-11-19 |
| 1891156196 | Kelvin Lam | Physical Therapist | 11615 Chester Ave, Garden Grove, CA 92840-5410 | 2016-03-14 |
| 1962892679 | Michelle Bui | Physical Therapist | 13761 Mcmains St, Garden Grove, CA 92844-2740 | 2015-02-02 |
| 1124416433 | Nang Duc Nguyen | Physical Therapist | 12312 Tamerlane Dr, Garden Grove, CA 92840-3960 | 2015-01-08 |
| 1790103182 | Huy Nguyen | Physical Therapist | 11611 Wasco Rd, Garden Grove, CA 92841-1955 | 2014-04-02 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.