KANG PHYSICAL THERAPY INC. (NPI# 1629623186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629623186 |
| Entity Type | Organization |
| Organization Name | KANG PHYSICAL THERAPY INC. |
| Other Organization Name | SHINEBRIGHT PHYSICAL THERAPY |
| Practice Address |
23401 El Toro Rd Ste 200 Lake Forest CA 92630-6923 |
| Practice Telephone | 9496919795 |
| Practice Fax Number | 9497633070 |
| Mailing Telephone | 9496919795 |
| Mailing Fax Number | 9497633070 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | KWANGYO KANG (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2134076563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Luzwave Physical Therapy | Doing Business As Name - Organization |
| ShineBright Physical Therapy | Doing Business As Name - Organization |
| Street Address |
23401 EL TORO RD STE 200 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634603 | Kwangyo Kang | Physical Therapist | 23401 El Toro Rd Ste 200, Lake Forest, CA 92630-6923 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689000374 | Otoc Occupational Therapy Services Incorporated | Clinic/Center | 22642 Lambert St, Ste 403, Lake Forest, CA 92630-1610 | 2013-09-25 |
| 1023311073 | Restorative Therapy Associates | Clinic/Center | 20431 James Bay Cir, Lake Forest, CA 92630-8833 | 2010-12-14 |
| 1659482990 | Mobility Physical Therapy, Inc. | Clinic/Center | 24551 Raymond Way Ste 125, Lake Forest, CA 92630-4478 | 2006-08-31 |
| 1093104333 | Coury & Buehler Physical Therapy, Inc. | Clinic/Center | 24301 Muirlands Blvd, Suite T, Lake Forest, CA 92630-3627 | 2015-01-09 |
| 1568782316 | Body Fixx | Clinic/Center | 1044 N Western Ave, Lake Forest, IL 60045-1282 | 2010-06-03 |
| 1083846976 | Primitive Therapy Physical Therapy Inc | Clinic/Center | 22691 Lambert St Ste 520, Lake Forest, CA 92630-1614 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on KANG PHYSICAL THERAPY INC..
| 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.