Junmin Park

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PTH11401 Issued in AL

Practice address

7850 Vaughn Rd
Montgomery, AL 36116-1333

Phone

(334) 396-2110

Fax

(334) 396-2115

NPI assigned

Jun 15, 2023

Sex

Male

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

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Philadelphia College of Osteopathic Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Solutions of Montgomery LLCGroup PAC ID 6305891037, 10 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 and National Provider Directory roles.

• PT Solutions of Montgomery, LLC

  • Physical Therapist
  • Montgomery, AL
  • NPI 1073558086

  AL, Orthopedic

  Medicare reassignment Care Compare group NPD
• PT Solutions of Montgomery, LLC

  • Physical Therapist
  • Columbiana, AL
  • NPI 1619636495
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1497430623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161333",
            "telephone_number": "334-396-2110",
            "fax_number": "334-396-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH11401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody S Pan, OTR/L
• Justin Alexander Parden, M.D.
• Kimberlyn Latrice Parham, MS, LPC
• Jennifer Christine Parish, RN
• Park Place Psychiatry, LLC
• Paul Park
• Elana Parker Merriweather, ED.S., LPC, NCC, DCD
• Tatiana Parker-Evans, LPC
• Henry Edward Parker Jr., LPC
• Jacob Parker, PHARMD

• All providers in Montgomery, AL
• Orthopedic Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.