Individual provider Active NPI

Yoojin Park, DPT

  • Physical Therapist
  • Fredericksburg, VA
National Provider Identifier
1821161035
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
195 Falcon Drive
Fredericksburg, VA 22408
Phone
(540) 735-0260
Fax
(540) 735-0262
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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 VA Primary

Addresses

Primary practice location

195 Falcon Drive
Fredericksburg, VA 22408

Mailing address

1203 Anderson St
Fredericksburg, VA 22401-2630
Phone (540) 735-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000457 VA Practitioner - Physical Therapist in Private Practice 9638276421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rappahannock Foot and Ankle Specialists PLCGroup PAC ID 5991784779, 11 clinicians

Practice addresses (Care Compare)

195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone (540) 371-2724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Foot & Ankle Specialists, PLC CurrentSince Apr 2, 2007 Accepting new patients
Rappahannock Foot & Ankle Specialist Physical Therapist PastSince Apr 2, 2007 Accepting new patients

Locations

195 Falcon Dr
Fredericksburg, VA 22408
Phone (540) 371-2724

450 Garrisonville Rd
Ste 115
Stafford, VA 22554
Phone (540) 720-0674

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1821161035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 ANDERSON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224012630",
            "telephone_number": "540-735-0260",
            "fax_number": "540-735-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FALCON DRIVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-735-0260",
            "fax_number": "540-735-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOOJIN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.