Jingeu M Park, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12072 Issued in CO

Practice address

365 Dillon Ridge Rd Ste 100
Dillon, CO 80435-6343

Phone

(970) 262-0179

NPI assigned

Mar 14, 2006

Last updated

Dec 6, 2021By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.38 of 100Reported as group

Quality

55.42

Promoting interoperability

96

Improvement activities

40

Cost

65.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vail Clinic, Inc.

  dba Vail Health Hospital

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Medicare reassignment Care Compare group NPD
• Vail Clinic Inc

  dba Howard Head Sports Medicine at Silverthorne

  • Clinic/Center
  • Silverthorne, CO
  • NPI 1083261283
  NPD
• Vail Clinic, Inc.

  dba Precourt Healing Center

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  NPD
• Rehab Colorado, LLC

  dba Avalanche Physical Therapy

  • Rehabilitation Clinic/Center
  • Copper Mountain, CO
  • NPI 1588801997
  NPD (past)
• Rehab Colorado, LLC

  dba Avalanche Physical Therapy

  • Rehabilitation Clinic/Center
  • Silverthorne, CO
  • NPI 1891722757
  NPD (past)
• Black Hills Physical Therapy, Inc.

  • Physical Therapist
  • Spearfish, SD
  • NPI 1891767737
  NPD (past)
• Blair Investments Inc

  dba Hands On Physical Therapy

  • Physical Therapy Clinic/Center
  • Cheyenne, WY
  • NPI 1912052242

  Physical Therapist

  NPD (past)
• Homecare Rehab and Nursing LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1235387762

  Physical Therapist

  NPD (past)
• Homecare Rehab, LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Frederick, MD
  • NPI 1336254192

  Physical Therapist

  NPD (past)
• Matson Therapy, LLC

  dba Black Hills Physical Therapy

  • Physical Therapist
  • Spearfish, SD
  • NPI 1710565684
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1326016437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-668-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 DILLON RIDGE RD STE 100",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "804356343",
            "telephone_number": "970-262-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JINGEU",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "365 DILLON RIDGE RD",
            "address_2": "STE 100",
            "city": "DILLON",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804356343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samina Christina Nelson
• Richard O'Brien
• Kristen Oakley, PHARMD
• James Oberheide, M.D.
• Ciara Jean Odom, LPC, LAC, NCC, ACS
• Peak Vision
• Peaks Medical PC
• Peaks Urgent Care PC
• Janice L Picard
• Pink Dopamine Psychiatry LLC

• Physical Therapist in Dillon, CO
• Providers in Dillon, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.