YOON KONG DPT
NPI 1275410169
Physical Therapist - Orthopedic in Prince George, VA

Q: What is Yoon Kong's NPI number?

The NPI number for Yoon Kong is 1275410169. It was assigned to this individual provider in the NPPES registry on August 20, 2025. The provider is also known as Isaac Kong.

Q: What is Yoon Kong's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Yoon Kong was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since August 20, 2025Accepts Medicare Assignment

4710 PUDDLEDOCK RD STE 100, PRINCE GEORGE, VA 23875(804) 732-0035(804) 732-0045 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Yoon Kong Dpt NPPES

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

YOON KONG DPT (NPI 1275410169) is an individual orthopedic provider in Prince George, Virginia, licensed in Virginia (2305217354) and active in the NPI registry since August 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1275410169

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameYOON KONGCredential: DPT

Location Address4710 PUDDLEDOCK RD STE 100Prince George, VA 23875-1269

Mailing AddressPo Box 715868Philadelphia, PA 19171-5868 · (804) 915-1910 · Fax (804) 968-1803

Phone(804) 732-0035

Fax(804) 732-0045

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 20, 2025

Last NPPES UpdateSeptember 15, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1275410169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in VA · 2305217354

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

4710 PUDDLEDOCK RD STE 100, Prince George, VA 23875

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Other Names 1

Other Name (5)Isaac Kong

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yoon Kong Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820588668

PECOS Enrollment IDI20251110000226

Medicare Billing Reassignment

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

Orthovirginia, Inc.

Same address

Multi-Specialty

4710 PUDDLEDOCK ROAD, SUITE 100
Prince George, VA 23875

Reassigned Medicare billing, Virginia enrollment
407 clinicians in this Medicare group

NPI 1033548441 (804) 915-4604

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEAL A FREED M.D.

Emergency Medicine