Active NPI
Deukhyun Park, PT
- Physical Therapist
- Castroville, TX
National Provider Identifier
1952211120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1409003
- Practice address
- 408 US Highway 90 W Ste 200
Castroville, TX 78009-4547 - Phone
- (830) 346-5454
- Fax
- (830) 346-5455
- NPI assigned
- Sep 10, 2026
- Last updated
- Sep 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1409003 | TX | Primary |
Addresses
Primary practice location
408 US Highway 90 W Ste 200
Castroville, TX 78009-4547
Mailing address
12952 Bandera Rd Ste 107
Helotes, TX 78023-4733
Phone (830) 346-5454
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1952211120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12952 BANDERA RD STE 107",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234733",
"telephone_number": "830-346-5454",
"fax_number": "830-346-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 US HIGHWAY 90 W STE 200",
"city": "CASTROVILLE",
"state": "TX",
"postal_code": "780094547",
"telephone_number": "830-346-5454",
"fax_number": "830-346-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "DEUKHYUN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1409003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castroville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.