Samuel Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7400 E Hampden Ave Unit C-3
Denver, CO 80231-4861

Phone

(303) 221-1474

NPI assigned

Jul 31, 2021

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment Care Compare group NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• J Medical Inc

  dba Therahand Physical Therapy

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1013171529

  Physical Therapist

  Medicare reassignment NPD
• Samuel Park Physical Therapy LLC Samuel Park Sole MBR

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1639933393
  NPD Authorized official
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Wheat Ridge Clinic - Maternal Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Wheat Ridge, CO
  • NPI 1477170421
  NPD
• J Medical Inc

  dba Therahand Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Westminster, CO
  • NPI 1710642806
  NPD
• Peak Physical Therapy at Highlands Ranch

  dba Peak Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Denver, CO
  • NPI 1083200620

  Physical Therapist

  NPD
• Peak Physical Therapy at Highlands Ranch

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Highlands Ranch, CO
  • NPI 1962675371
  NPD (past)
• Peak Rehabilitation of Denver LLC

  dba Peak Physical Therapy and Wellness

  • Physical Therapist
  • Parker, CO
  • NPI 1386688166
  NPD (past)

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1386317667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E HAMPDEN AVE UNIT C-3",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314861",
            "telephone_number": "303-221-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Wadsworth Blvd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334652",
            "country_code": "US",
            "telephone_number": "303-564-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9101 Pearl St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294390",
            "country_code": "US",
            "telephone_number": "720-328-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-31",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200121",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Park, MA, LPCC, ATR-P
• Eun Chil Park, M.D.
• Hwajin Park
• Jung Min Park, LIC. AC.
• Jung Yeon Park, M.D.
• Suegie Park, PHARM. D.
• Tony J Park, M.D.
• Youngju Park, CCC-SLP
• Parker Personal Care Homes, Inc.
• Parker Personal Care Homes, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.