Edward H Park

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29049 Issued in CA

Practice address

10080 N Wolfe Rd
SW3-100
Cupertino, CA 95014-2515

Phone

(408) 342-6600

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• B.E.S.T. Physical Therapy, a Prof Corp

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1841214491

  Physical Therapist

  NPD (past)
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Ambulatory Surgery Center, Antelope Valley

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1851169965
  NPD (past)
• Kimberly Gladfelter

  dba Physiofit Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Altos, CA
  • NPI 1881650505
  NPD (past)
• Physiofit Physical Therapy & Wellness, P.C.

  • Orthopedic Physical Therapist
  • Los Altos, CA
  • NPI 1326549965
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982678447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 N WOLFE RD",
            "address_2": "SW3-100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 N WOLFE RD",
            "address_2": "SW3-100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142515",
            "telephone_number": "408-342-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "EDWARD",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENC",
            "identifier": "PT29049",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willy Y Pan, D.D.S.
• Pang Physical Therapy Inc
• Allan Y. Pang, DDS
• Sachin Shrikant Parikh, M.D.
• Chau Le Park, D.P.T.
• Linda Hanh Park
• Sonya Minha Park, M.D.
• Jaclyn Michelle Pasch, MFT
• Amishi Patel, DDS
• Dhruv Nandkishor Patel

• Physical Therapist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Physical Therapist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.