Juseok Park Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024040 Issued in NY

Legal business name

JUSEOK PARK PHYSICAL THERAPY PC

Practice address

839 58TH St
#3
Brooklyn, NY 11220-3679

Phone

(718) 633-6020

Fax

(718) 633-6015

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Juseok Park, MANPI 1265452312

Title

Physical Therapist

Phone

(917) 750-7722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juseok Park

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1265452312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1689846784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 58TH ST",
            "address_2": "#3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203679",
            "telephone_number": "718-633-6020",
            "fax_number": "718-633-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 58TH ST",
            "address_2": "#3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203679",
            "telephone_number": "718-633-6020",
            "fax_number": "718-633-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSEOK PARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUSEOK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-750-7722",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Juran, PH.D.
• Susan S Juray, MS, RD, CDN
• Nichelle Diane Jure, LMSW
• Alexandra Anne Jurenko, LCSW
• Jurny Technologies, LLC
• Aida S Jusino
• Shirley Jusino, MD, PHD
• Francoise Dieudonne Jusma, DPM
• Just Care, LLC.
• Just Care, LLC. Cdpap-Fi

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.