Pal Park Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PAL PARK PHYSICAL THERAPY PC

Practice address

118 Broad Ave # 9
Palisades Park, NJ 07650-2717

Phone

(201) 313-1122

Fax

(201) 941-1157

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Hyeo Young Park, RPTNPI 1598953341

Title

President

Phone

(201) 313-1122

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyeoyoung Park

  • Orthopedic Physical Therapist
  • Cresskill, NJ
  • NPI 1598953341
  NPD Authorized official

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1033851837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROAD AVE # 9",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502717",
            "telephone_number": "201-313-1122",
            "fax_number": "201-941-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROAD AVE # 9",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502717",
            "telephone_number": "201-313-1122",
            "fax_number": "201-941-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL PARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HYEO YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-313-1122",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINCENSE",
            "identifier": "40QA00899500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oceanwide Services Corp
• Hyun J Oh
• Seo Jin Oh
• Silvia Edelina Ordonez, COTA
• Michael Ostrofsky, D.D.S.
• Palisades Park Bo Orthodontics
• Palisades Park Dental P.C.
• Palisades Park Medicine, P.C.
• Palisades Park School District
• Palpark Physical Therapy

• Physical Therapy Clinic/Center in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.