Donghwan Park Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DONGHWAN PARK PHYSICAL THERAPY PC

Practice address

42 Broadway Ste 1219
New York, NY 10004-3834

Phone

(917) 592-2207

NPI assigned

Mar 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Donghwan Park, PTNPI 1265916423

Title

President

Phone

(917) 592-2207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donghwan Park

  • Physical Therapist
  • New York, NY
  • NPI 1265916423
  Medicare reassignment Authorized official
• Youngsu NA, PT

  • Physical Therapist
  • New York, NY
  • NPI 1770249914
  NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1730774357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1219",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043834",
            "telephone_number": "917-592-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1219",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043834",
            "telephone_number": "917-592-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGHWAN PARK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DONGHWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-592-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Dong, MD
• Vincent Dong, DO
• Yajing Dong, L,AC.
• Yutong Dong
• Zihan Dong, MD
• Donghwan's Acu and Herb Inc
• Dechen Dongka
• Dongyi Yu Occupational Therapist PC
• Ilene Beth Donin, PH.D.
• Yekaterina Donina, PSY.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 Jun 8, 2023; 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.