| Taesun Kang, OTR/L | |
|
1701 Center St, Apex, NC 27502-7026 | |
| (984) 246-9080 | |
| (984) 464-2242 |
| Full Name | Taesun Kang |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1701 Center St, Apex, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952734725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 9235 (North Carolina) | Primary |
| 225X00000X | Occupational Therapist | 018219 (New York) | Secondary |
| Provider Name | Breakthrough Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Taesun Kang, OTR/L 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (502) 882-9379 | Taesun Kang, OTR/L 1701 Center St, Apex, NC 27502-7026 Ph: (984) 246-9080 |
Ms. Ashley E Hyde-smith, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Williams St Unit 346, Apex, NC 27502 Phone: 858-264-6453 | |
Catherine Morris Hadley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 W Williams St Unit 346, Apex, NC 27502 Phone: 919-448-6018 | |
Mr. Jose Alejandro Raez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 209 Thorncrest Dr, Apex, NC 27539 Phone: 305-401-7019 | |
Mr. Donald Cody Hamrick, OTR/L, LCSWA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 56 Hunter St Ste 200, Apex, NC 27502 Phone: 919-514-3566 | |
Brandon Zane Klassett, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Perry Rd, Apex, NC 27502 Phone: 919-446-5670 | |
Pamela Lynn Skinner, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2311 Energy Dr Bldg 9, Apex, NC 27502 Phone: 984-254-5635 | |
Amanda Spano, M.S, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box 1481, Apex, NC 27502 Phone: 199-925-4922 |