Emily Park, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14450 Issued in WI

Practice address

202 S Park St
Madison, WI 53715

Phone

(608) 417-5751

Fax

(608) 417-5315

NPI assigned

Feb 5, 2017

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

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

{
    "created_epoch": "1486252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1376081828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MARYLAND AVE APT 2A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321737",
            "telephone_number": "815-878-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-417-5751",
            "fax_number": "608-417-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Freeport Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153301",
            "country_code": "US",
            "telephone_number": "412-784-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "EMILY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-05",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Pariseau, M.D.
• Leeann I Parish, MS, MFT
• Amy C Parisi, LCSW
• Andrew Park
• Elizabeth Park, DO
• Jinhee Park, PHARMD
• John K Park, MD
• Lisa Kyoun Park, MD
• Sin Young Park, MS, CRC, LPC-IT
• Youngchan Park, MD

• Physical Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.