CHI Yol Pak, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010706 Issued in WA

Practice address

1510 SE 97TH Ave
Vancouver, WA 98664-3656

Phone

(360) 936-1557

NPI assigned

May 12, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ferry County Public Hospital District No 1

  • Critical Access Hospital
  • Republic, WA
  • NPI 1508899816

  WA

  Medicare reassignment NPD
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
  • NPI 1184844185

  WA

  Medicare reassignment
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Family Medicine Physician
  • Grand Coulee, WA
  • NPI 1265422935

  WA

  Medicare reassignment
• Ferry County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Republic, WA
  • NPI 1184776916
  NPD
• Ferry County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Curlew, WA
  • NPI 1205988219
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1003040593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SE 97TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643656",
            "telephone_number": "360-936-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SE 97TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643656",
            "telephone_number": "360-936-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "CHI",
        "middle_name": "YOL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4112819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Paik, MD
• Pain Free Chiropractic
• Breeanna Paine
• Pairmore Young Synergy Chiropractic LLC
• Natalia Pak-Durant
• Chol Young Pak, MD
• Daniel Edward Pak
• Marcus Gabriel Palacios, M.ED
• Paladin Institute for Psychiatric Services
• McKayla Pauline Palasthira

• All providers in Vancouver, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.