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
Mailing address39 E Harriet Ave, Palisades Pk, NJ 07650-1417

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