| Benjamin Kong, | |
|
301 Industrial Rd, San Carlos, CA 94070-2603 | |
| (650) 632-0816 | |
| Not Available |
| Full Name | Benjamin Kong |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 301 Industrial Rd, San Carlos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104242080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 41074 (California) | Primary |
| Provider Name | Agile Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659445443 PECOS PAC ID: 2163311556 Enrollment ID: O20040312001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Kong, 325 Distel Cir, Los Altos, CA 94022-1408 Ph: () - | Benjamin Kong, 301 Industrial Rd, San Carlos, CA 94070-2603 Ph: (650) 632-0816 |
Adient Health, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 951- A Industrial Road, San Carlos, CA 94070 Phone: 650-323-4440 Fax: 650-323-4441 | |
Ms. Erica Claire Gould, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1160 El Camino Real, San Carlos, CA 94070 Phone: 650-508-0595 Fax: 650-508-0598 | |
Chenlei Qian, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 690 Industrial Rd, San Carlos, CA 94070 Phone: 650-592-6682 | |
Beverly Picardo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Industrial Rd Ste 11a, San Carlos, CA 94070 Phone: 650-593-9700 | |
Allison Granot, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 301 Industrial Rd, San Carlos, CA 94070 Phone: 650-632-0816 | |
Sean Liam Danagher, Physical Therapist Medicare: Medicare Enrolled Practice Location: 125 Shoreway Rd, Ste. 1500, San Carlos, CA 94070 Phone: 650-591-9581 |