JONGMUN KAWK DPT
NPI 1164893913
Physical Therapist in San Mateo, CA

Active since October 19, 2015
847 N HUMBOLDT ST APT 208, SAN MATEO, CA 94401(415) 606-7509 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jongmun Kawk Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONGMUN KAWK DPT (NPI 1164893913) is an individual physical therapist in San Mateo, California, licensed in California (43181) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1164893913
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJONGMUN KAWKCredential: DPT
Location Address847 N HUMBOLDT ST APT 208San Mateo, CA 94401-1449
Mailing Address847 N Humboldt St Apt 208San Mateo, CA 94401-1449 · (415) 606-7509
Sole ProprietorNo
Enumeration DateOctober 19, 2015
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1164893913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 43181
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
847 N HUMBOLDT ST APT 208, San Mateo, CA 94401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jongmun Kawk Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jongmun Kawk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jongmun Kawk's NPI number?

The NPI number for Jongmun Kawk is 1164893913. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Jongmun Kawk located?

Jongmun Kawk practices at 847 N Humboldt St Apt 208, San Mateo, CA 94401. The listed phone number is (415) 606-7509.

What is Jongmun Kawk's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jongmun Kawk enrolled in Medicare?

Yes. Jongmun Kawk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jongmun Kawk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongmun Kawk reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jongmun Kawk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jongmun Kawk was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.