SUDONG KANG OTR/L
NPI 1619268638
Occupational Therapist in Fort Gordon, GA

Active since April 25, 2011Accepts Medicare Assignment
300 EAST HOSPITAL ROAD, EISENHOWER HOSPITAL, 1ST FLOOR, FORT GORDON, GA 30905(706) 787-7448 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sudong Kang Otr/l NPPES

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

SUDONG KANG OTR/L (NPI 1619268638) is an individual occupational therapist in Fort Gordon, Georgia, licensed in New Jersey (46TR00545000) and active in the NPI registry since April 2011. He maintains a secondary practice location in Springfield and is a graduate of Other (2010).

NPPES Registry Identity

NPI1619268638
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameSUDONG KANGCredential: OTR/L
Location Address300 EAST HOSPITAL ROAD, EISENHOWER HOSPITAL, 1ST FLOORFort Gordon, GA 30905
Mailing Address92 Linden AveSpringfield, NJ 07081-1808 · (908) 376-6177
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 25, 2011
Last NPPES UpdateJuly 3, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1619268638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NJ · 46TR00545000
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
300 EAST HOSPITAL ROAD, Fort Gordon, GA 30905

Secondary Practice Location 1

Location 192 Linden AveSpringfield, NJ 07081-1808 · Phone (201) 228-0445

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

Sudong Kang Otr/l 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 ID7214239524
PECOS Enrollment IDI20160104001841

Medicare Billing Reassignments

4

Medicare enrollment records show Sudong Kang reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
34 CEDAR BROOK DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
Physical Therapist
11 MALKE DR
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 175 clinicians in this Medicare group
Physical Therapy
700 FAIRFIELD AVE
Kenilworth, NJ 07033
  • Reassigned Medicare billing, New Jersey enrollment
  • 9 clinicians in this Medicare group
Physical Therapist
5 BOROLINE RD
Saddle River, NJ 07458
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Physical Therapist
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905

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 Sudong Kang's NPI number?

The NPI number for Sudong Kang is 1619268638. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Where is Sudong Kang located?

Sudong Kang practices at 300 East Hospital Road Eisenhower Hospital, 1st Floor, Fort Gordon, GA 30905. The listed phone number is (706) 787-7448.

What is Sudong Kang's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Sudong Kang enrolled in Medicare?

Yes. Sudong Kang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sudong Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudong Kang reassigns Medicare benefits to 4 organizations: Ku Rehab And Fitness LLC (Somerset, NJ), Mobile Therapy Services, Inc. (Ocean, NJ), East Coast Rehabilitation Services LLC (Kenilworth, NJ) and Healthpro Heritage Rehab & Fitness, LLC (Saddle River, NJ). Each 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 Sudong Kang'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 Sudong Kang was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.