Joseph Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215693 Issued in VA

Practice address

8551 Rixlew LN Ste 340
Manassas, VA 20109-4278

Phone

(703) 368-7343

NPI assigned

Oct 2, 2023

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

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Physical Therapy IncGroup PAC ID 6709935935, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Piedmont Physical Therapy, Inc

  • Physical Therapist
  • Manassas, VA
  • NPI 1194968768
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1043090632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CEDAR PARK CT",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226307069",
            "telephone_number": "703-939-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LN STE 340",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094278",
            "telephone_number": "703-368-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kajal V Parikh, M.D.
• Hae Duk Park, D.M.D.
• Hyuckwon Park, PA-C
• Jin Hong Park, MD
• Jiseon Park, PT,DPT
• So Yeon Park
• Jill Ann Parker, LCSW
• Juliane Parks
• Parktown Medical Associates LLC
• Elizabeth Toon Powell Parthum, BCBA

• Physical Therapist in Manassas, VA
• Providers in Manassas, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.