Individual provider Active NPI

Christopher Park

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1235895756
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300684 Issued in CA
Practice address
3283 Motor Ave
Los Angeles, CA 90034-3709
Phone
(310) 856-9690
NPI assigned
Nov 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300684 CA Primary

Addresses

Primary practice location

3283 Motor Ave
Los Angeles, CA 90034-3709

Mailing address

417 S Westmoreland Ave Unit 303
Los Angeles, CA 90020-1563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211115001286 CA Practitioner - Physical Therapist in Private Practice 0446649305 Reassigns benefits to 1 organization
I20240827004381 DC Practitioner - Physical Therapist in Private Practice 0446649305 Reassigns benefits to 1 organization
I20240828004612 VA Practitioner - Physical Therapist in Private Practice 0446649305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodies in Motion Physical Therapy III, LLCGroup PAC ID 3971627753, 7 clinicians

Practice addresses (Care Compare)

4084 University Dr
Suite 103
Fairfax, VA 22030-6803
Phone (703) 896-9999

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
66.67
Improvement activities
40
Cost
70.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete P T Pool and Land Physical Therapy Inc CurrentSince Oct 8, 2021 Accepting new patients
Bodies in Motion Physical Therapy III, LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

3283 Motor Ave
Los Angeles, CA 90034
Phone (310) 559-6900

4084 University Dr
Ste 103
Fairfax, VA 22030
Phone (703) 896-9999

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1235895756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S WESTMORELAND AVE UNIT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3283 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343709",
            "telephone_number": "310-856-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.