Individual provider Active NPI

Yuka Park, PT

  • Physical Therapist
  • Woodbridge, VA
National Provider Identifier
1750746277
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305208201 Issued in VA
Practice address
13854 Smoketown Rd
Woodbridge, VA 22192-4210
Phone
(703) 670-9935
NPI assigned
Dec 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208201 VA Primary

Addresses

Primary practice location

13854 Smoketown Rd
Woodbridge, VA 22192-4210

Mailing address

5252 Lyngate CT
Ste 203
Burke, VA 22015-1672
Phone (703) 239-2300

Other names 1

  • Yuka Hara Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305208201VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Rehabilitation, LLC Physical Therapist PastSince Oct 9, 2012 Accepting new patients
Hand Therapy Experts, LLC Past Accepting new patients
Alliance Rehab and Physical Therapy LLC Physical Therapist Past Accepting new patients
Alliance Rehabilitation, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1750746277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "address_2": "STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924210",
            "telephone_number": "703-670-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YUKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YUKA",
            "last_name": "HARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.