Jiseon Park, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209357 Issued in VA

Practice address

8551 Rixlew LN
Ste 340
Manassas, VA 20109-4277

Phone

(703) 368-7343

Fax

(703) 368-0719

NPI assigned

Jul 24, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061
  NPD (past)
• Piedmont Physical Therapy, Inc

  • Physical Therapist
  • Manassas, VA
  • NPI 1194968768
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1265817746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LN",
            "address_2": "STE 340",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094277",
            "telephone_number": "703-368-7343",
            "fax_number": "703-368-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 RIXLEW LN",
            "address_2": "STE 340",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094277",
            "telephone_number": "703-368-7343",
            "fax_number": "703-368-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JISEON",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace S. Parham, MS, VATL, ATC
• Kajal V Parikh, M.D.
• Hae Duk Park, D.M.D.
• Hyuckwon Park, PA-C
• Jin Hong Park, MD
• Joseph Park
• So Yeon Park
• Jill Ann Parker, LCSW
• Juliane Parks
• Parktown Medical Associates LLC

• 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 Jul 24, 2015; 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.