| Sudong Kang, OTR/L | |
|
300 East Hospital Road, Eisenhower Hospital, 1st Floor, Fort Gordon, GA 30905 | |
| (706) 787-7448 | |
| Not Available |
| Full Name | Sudong Kang |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 16 Years |
| Location | 300 East Hospital Road, Fort Gordon, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619268638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR00545000 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Coast Rehabilitation Services Llc | 9931333705 | 5 |
| Provider Name | East Coast Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417228917 PECOS PAC ID: 9931333705 Enrollment ID: O20140310000357 |
| Provider Name | Mobile Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1326495615 PECOS PAC ID: 6305130840 Enrollment ID: O20160808000021 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689022295 PECOS PAC ID: 6507832573 Enrollment ID: O20160919002691 |
| Provider Name | Ku Rehab And Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518319722 PECOS PAC ID: 7810245545 Enrollment ID: O20180813000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Sudong Kang, OTR/L 92 Linden Ave, Springfield, NJ 07081-1808 Ph: (908) 376-6177 | Sudong Kang, OTR/L 300 East Hospital Road, Eisenhower Hospital, 1st Floor, Fort Gordon, GA 30905 Ph: (706) 787-7448 |
Ms. Rebecca Blair Bonin, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1056 | |
Lily Yang, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-5811 | |
Christine A Culver, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 707-787-7448 | |
Barbara A Schiefer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospital Road, Eisenhower Army Medical Center, Fort Gordon, GA 30905 Phone: 706-787-7448 Fax: 706-787-4934 | |
Mrs. Toya Tawyna Thorpe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 E. Hospital Road, Fort Gordon, GA 30905 Phone: 706-305-7084 | |
Ms. Kathryn Vann Magill, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Hospial Ave, Fort Gordon, GA 30905 Phone: 706-787-7448 | |
Tamara Polidore-leconte, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-1045 |