Eunse Park, PT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP044415T Issued in GA

Practice address

80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740

Phone

(770) 591-8797

NPI assigned

Jun 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J and J Physical Therapy LLCGroup PAC ID 9133545890, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• J & J Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1538786249
  Medicare reassignment Care Compare group NPD
• Dynamic Core Rehab

  • Physical Therapist
  • Suwanee, GA
  • NPI 1184569774
  NPD Authorized official

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1407740293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 GRANBY CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415807",
            "telephone_number": "302-985-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HORIZON DR STE 304B",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247740",
            "telephone_number": "770-591-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "EUNSE",
        "name_prefix": "Dr.",
        "credential": "PT, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12228",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP044415T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvain Panu, LAPC
• Paraclete Counseling Center, Inc
• Kimberly Paris, APRN, FNP-BC
• Park Surgical Specialists, LLC
• Alexander D. Park, M.D.
• Grace Park, MD
• Hayeon Park, NP-C
• Hyeon Hui Park, APRN, FNP-BC
• Julia C Parker, MED, CCC-SLP
• Kristine Peters Parkhurst, MA, CCC-SLP

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.