MR. SUNG PARK (NPI# 1386256576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386256576 |
| Entity Type | Individual |
| Full Name | MR. SUNG PARK |
| Practice Address |
339 Flanders Rd East Lyme CT 06333-1700 |
| Practice Telephone | 8607396437 |
| Practice Fax Number | 8607392901 |
| Mailing Telephone | 8607396437 |
| Mailing Fax Number | 8607392901 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 004190 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558927913 | Sung Uk Park | Acupuncturist | 22001 Jamaica Ave Fl 2, Queens Village, NY 11428-2140 | 2019-05-11 |
| 1922493345 | Sung Keun Park | Dentist | 467 S Davy Crockett Pkwy Ste 1, Morristown, TN 37813-1995 | 2015-04-02 |
| 1073864831 | Sung Ho Park | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2012-09-19 |
| 1538427786 | Sung Park | Dentist | 6804 43rd Ave Fl 1, Woodside, NY 11377-5153 | 2012-04-25 |
| 1144407230 | Sung Ah Park | Acupuncturist | 670 E Commonwealth Ave # A, Fullerton, CA 92831-4514 | 2008-01-30 |
| 1033670914 | Sung Woong Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-03-25 |
| 1962998070 | Sung Park | Pharmacist | 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 | 2018-07-02 |
| 1154860104 | Sung H Park | Orthotic Fitter | 5602 Oakham Pl, Centreville, VA 20120-5214 | 2017-02-22 |
| 1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
| 1952690125 | Sung Mi Park | Acupuncturist | 4747 Hallowed Strm, Ellicott City, MD 21042-7902 | 2011-03-28 |
| Street Address |
339 FLANDERS RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994510 | Peter John Famiglietti | Ophthalmology | 339 Flanders Rd, Suite 109, East Lyme, CT 06333-1700 | 2005-07-07 |
| 1174137384 | Kelsey Murphy | Speech-Language Pathologist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-09-04 |
| 1174136758 | Jaclyn Elizabeth Kornegay | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-25 |
| 1073126496 | Michelle Williamson | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-25 |
| 1588276422 | Kathleen Corcoran Karlberg | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-21 |
| 1245584515 | David R. Lopriore | Acupuncturist | 339 Flanders Rd, Latimer Brook Commons Unit 107, East Lyme, CT 06333-1700 | 2012-11-07 |
| 1538352257 | Peter J. Famiglietti, M.d. | Specialist | 339 Flanders Rd, Suite 109, East Lyme, CT 06333-1700 | 2007-08-27 |
| 1568674331 | Advantage Dental Group, LLC | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-04 |
| 1629299896 | Sajjad A Khan | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-02 |
| 1437271533 | Archana Karanki | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333-1700 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126496 | Michelle Williamson | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-25 |
| 1588276422 | Kathleen Corcoran Karlberg | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-21 |
| 1124383591 | Sarah S Mcnamara | Physical Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2012-07-11 |
| 1083766026 | Glyn Elizabeth Lasater | Physical Therapist | 131 Boston Post Rd., East Lyme, CT 06333 | 2007-01-18 |
| 1467426437 | Leah M Goric | Physical Therapist | 131 Boston Post Rd, East Lyme, CT 06333 | 2006-02-15 |
| 1669443362 | Tiffany Rindell | Physical Therapist | 131 Boston Post Rd, Shoreline Physical Therapy, East Lyme, CT 06333-1605 | 2006-01-30 |
| 1104825322 | Kathryn J Haaland | Physical Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2005-07-19 |
| 1073512208 | Joanne Z. Moore | Physical Therapist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495205 | Joan Brady Wikholm | Physical Therapist | 622 Hebron Ave Ste 200, Glastonbury, CT 06033-5003 | 2020-10-19 |
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1487252847 | Alex Christopher Pinto | Physical Therapist | 2505 Main St Ste 207, Stratford, CT 06615-5848 | 2020-10-16 |
| 1104424761 | Leonard Pratt | Physical Therapist | 17 Cobble Road, Salisbury, CT 06068 | 2020-10-15 |
| 1326646977 | Christopher David Patrick | Physical Therapist | 385 Bridgeport Ave, Shelton, CT 06484-5303 | 2020-10-15 |
| 1104423003 | Joan Marie Karpuk | Physical Therapist | 693 Bloomfield Ave Ste 201, Bloomfield, CT 06002-2489 | 2020-10-04 |
| 1043827728 | Ethan Aresta | Physical Therapist | 550 Avery Hts, Hartford, CT 06106-4272 | 2020-09-28 |
| 1033726906 | Carol G Duprey | Physical Therapist | 89 Fair St, Bristol, CT 06010-5531 | 2020-09-25 |
| 1134735145 | Kevin Howard | Physical Therapist | 240 Indian River Rd Ste B7, Orange, CT 06477-3690 | 2020-09-16 |
| 1609480680 | Alyssa Ingmanson | Physical Therapist | 999 Summer St Ste 104, Stamford, CT 06905-5513 | 2020-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.