Joshua Park, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041216 Issued in NY

Practice address

50 E 42ND St RM 702
New York, NY 10017-5434

Phone

(908) 723-1140

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mocean Wellness Corp

  • Physical Therapist
  • New York, NY
  • NPI 1689205544
  NPD Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1073064937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175434",
            "telephone_number": "917-715-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 42ND ST RM 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175434",
            "telephone_number": "908-723-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Highland Ave Unit A",
            "address_purpose": "LOCATION",
            "city": "Palisades Park",
            "state": "NJ",
            "postal_code": "076501309",
            "country_code": "US",
            "telephone_number": "908-723-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 E 42nd St Rm 1304",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175425",
            "country_code": "US",
            "telephone_number": "917-715-4665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JOSHUA",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1282550",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua@moceanpt.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "50 E 42nd St Rm 702",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100175434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jocelyn W Park, MD
• Joel Choi Park, M.D.
• Jonathan Park, RN
• Joonhee Park
• Joseph Park, MD, PHD
• Ju Hyung Park, N.P.
• Ju Young Park, N.P.
• Juho Park
• Juliet C Park, MD
• Jungjae Park, DDS

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2020; 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.