Kyung Won Park, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034904 Issued in NY

Practice address

2 W 46TH St Ste 505
New York, NY 10036-4552

Phone

(646) 822-0588

Fax

(929) 224-0712

NPI assigned

Nov 9, 2015

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Center Point Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1467002725
  Medicare reassignment NPD Authorized official
• Logic Mobility Physical Therapy PC

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1205780053
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1609249960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 46TH ST STE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364552",
            "telephone_number": "646-822-0588",
            "fax_number": "929-224-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 46TH ST STE 505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364552",
            "telephone_number": "646-822-0588",
            "fax_number": "929-224-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KYUNG WON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koji Park, M.D.
• Kris Park
• Kristen Park, MD
• Kyejin Park, M.D.
• Kyle Park, PSYD
• Laura Heesun Park
• Lauren Park
• Leslie Park
• Leslie Ann Park, M.D.
• Lisa Park, M.D.

• Physical Therapist in New York, NY
• Providers in New York, 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 Feb 26, 2026; 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.