Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kang Yeon

Individual provider Physical Therapist · NPI 1467270488

Kang Yeon is a Physical Therapist in Private Practice in Fort Lee, New Jersey. Qualified in 2024, 2 years ago. Practices with Fort Lee Physical Therapy PC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024

Practice location Address checks out

2050 Center Ave
Fort Lee, NJ 07024-4996
Phone: (201) 585-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40AQ02288200 (NJ)

Record details

NPI number1467270488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 30, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fort Lee Physical Therapy Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Lee