So Young Park, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CO 7526 Issued in CO

Practice address

2600 S Parker Rd
#3-135
Aurora, CO 80014-1613

Phone

(303) 283-0130

Fax

(303) 283-0131

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shalom Cares Wellness Center, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Aurora, CO
  • NPI 1306400502

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841415056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD",
            "address_2": "#3-135",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141613",
            "telephone_number": "303-283-0130",
            "fax_number": "303-283-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD",
            "address_2": "#3-135",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141613",
            "telephone_number": "303-283-0130",
            "fax_number": "303-283-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SO YOUNG",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CO 7526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul S Park, MD
• Peter J Park, MD
• Rakyung Park
• Sarah Park
• Sihyeong Park, MD
• Sung Ho Park
• Christine Morgan Parkent, MD
• Parker Family Medicine, LLC (Access Family Medicine)
• Parker Froyd & Assoc Mental Health Services
• Parker Personal Care Homes, Inc.

• Physical Therapist in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.