Kyung-Eun Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044140 Issued in NY

Practice address

6125 Veeder Rd
Slingerlands, NY 12159-9813

Phone

(914) 441-2551

NPI assigned

May 17, 2019

Last updated

May 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC

  • Physical Therapist
  • Great Neck, NY
  • NPI 1841526399
  Medicare reassignment NPD

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1326604034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 VEEDER RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599813",
            "telephone_number": "914-441-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 VEEDER RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599813",
            "telephone_number": "914-441-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KYUNG-EUN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Teresa Oconnell, MD
• Olsl New York Operating Company LLC (Guilderland)
• Ophthalmic Plastic Surgery,PLLC
• Kevin Christopher Pachucki, RPA-C
• Liza A Palmer, NP
• Kevin Albert Paulsen, PT
• Linda Jean Peavy, PHYSICIAN ASSISTANT
• Margaret Perazzelli, P.T.
• Lisa Fettinger Pezzolla
• Stephen Thomas Pezzolla, NY STATE TEACHER CER

• Physical Therapist in Slingerlands, NY
• Providers in Slingerlands, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.