Jamie Joseph Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22000 Issued in MD

Practice address

10 Crossroads Dr
Suite 208
Owings Mills, MD 21117-5458

Phone

(443) 544-0100

NPI assigned

Oct 2, 2006

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Buffalo Teletherapy LLC

  • Physical Therapist
  • Buffalo, NY
  • NPI 1255793550
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194818401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 WENDEL AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CROSSROADS DR",
            "address_2": "SUITE 208",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175458",
            "telephone_number": "443-544-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAMIE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paragon, Inc. (Accessible Home Health Care of Baltimore)
• Paramount Care LLC
• Daniel Tomas Pardo, PSYD
• Judith Paris, LCSW-C
• Parj Diagnostics LLC
• Tyaurra Maria Parker, CNA
• Brooke L Parks, PA-C
• Clarissa L Parrish, MD
• Shalisa Partee, LCSW-C
• Partnermd Maryland PC

• Physical Therapist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.