Junsu Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048449 Issued in NY

Practice address

4125 Kissena Blvd Apt 6Ee
Flushing, NY 11355-3164

Phone

(646) 402-1951

NPI assigned

Feb 6, 2022

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 NY

Enrollment records 1

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.

• All About PT Physical Therapy PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1942002696
  Medicare reassignment NPD Authorized official
• Premium Medical Care, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Flushing, NY
  • NPI 1730399163
  Medicare reassignment NPD
• JSP Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1134050701
  NPD Authorized official
• Centum Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Flushing, NY
  • NPI 1780262725

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1801540133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD APT 6EE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553164",
            "telephone_number": "917-502-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 KISSENA BLVD APT 6EE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553164",
            "telephone_number": "646-402-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JUNSU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-06",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Park, DDS
• John K Park, M.D.
• Joonjoa Park, LCSW
• Jung Ju Park, PHARM D
• Jung Min Park
• Karry Park
• Ki Julia Park, R.PH
• Ki Young Park, MD
• Kyungshik Park, D.C.
• Michelle S Park, LMFT

• Physical Therapist in Flushing, NY
• Providers in Flushing, 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 Jul 23, 2026; 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.