Brandon Juyoung Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1325979 Issued in TX

Practice address

1600 W 38TH St Ste 132
Austin, TX 78731-6404

Phone

(512) 348-2515

Fax

(512) 961-8889

NPI assigned

Feb 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1326504622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 132",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316404",
            "telephone_number": "512-348-2515",
            "fax_number": "512-961-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lindsey Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315581727",
            "country_code": "US",
            "telephone_number": "912-729-1333",
            "fax_number": "912-729-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Newport Towne Ctr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378217360",
            "country_code": "US",
            "telephone_number": "423-623-2890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 E Greenville St Ste G",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212056",
            "country_code": "US",
            "telephone_number": "864-261-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "BRANDON",
        "middle_name": "JUYOUNG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60958690",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP004992T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9526",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP003602T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1325979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Bend Health Center
• Park Bend SCC, LLC (Park Bend SN Health Center)
• Park Eyecare PLLC (Eyejoy)
• Park Infusioncare, LP
• Augustine S Park, MD
• Catherine Park, O.D.
• Elaina Sun Park, MA, BCBA, LBA
• Hayan Park, PHARMD
• Irene Park
• Ivan Young Park, APRN

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.