Organization Active NPI

Dynamic Core Rehab

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1184569774
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DYNAMIC CORE REHAB
Practice address
1172 Satellite Blvd NW # 100
Suwanee, GA 30024-2868
Phone
(404) 987-5522
Fax
(678) 731-1566
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Dr. Eunse Park, PTNPI 1407740293
Title
President
Phone
(404) 987-5522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1172 Satellite Blvd NW # 100
Suwanee, GA 30024-2868

Mailing address

1172 Satellite Blvd NW # 100
Suwanee, GA 30024-2868
Phone (404) 987-5522

Other names 1

  • A.R.T. Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1172 Satellite Blvd NW
#100
Suwanee, GA 30024
Phone (404) 987-5522

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1184569774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 SATELLITE BLVD NW # 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242868",
            "telephone_number": "404-987-5522",
            "fax_number": "678-731-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 SATELLITE BLVD NW # 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242868",
            "telephone_number": "404-987-5522",
            "fax_number": "678-731-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CORE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "EUNSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-987-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.R.T. Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.