DR. KYUNG WON PARK (NPI# 1609249960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609249960 |
| Entity Type | Individual |
| Full Name | DR. KYUNG WON PARK |
| Credential | PT, DPT |
| Practice Address |
2 W 46th St Ste 811 New York NY 10036-4549 |
| Practice Telephone | 7184145207 |
| Practice Fax Number | 9292240712 |
| Mailing Telephone | 7184145207 |
| Mailing Fax Number | 9292240712 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 034904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
034904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
034904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
034904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
034904 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3722 90th St Apt 1r, Jackson Heights, Jackson Heights, NY 113727864 | 7184145207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728876 | Kyung Won Park | Acupuncturist | 901 N Pacific Coast Hwy Ste 106, Redondo Beach, CA 90277-2162 | 2019-09-10 |
| Street Address |
2 W 46TH ST STE 811 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10036-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272999 | Caroline Edmunds Purdy | Acupuncturist | 19 West 45th Street Suite 501, New York, NY 10036 | 2020-10-09 |
| 1720612724 | Denisa Dyli | Registered Nurse | 305 West 44th Street, New York, NY 10036 | 2020-02-27 |
| 1023651148 | Trang Bui | Pharmacist | 687 9th Avenue, New York, NY 10036 | 2019-10-21 |
| 1306495361 | Desiree Polonis | Social Worker | 19 W. 45th Street, Suite 705, New York, NY 10036 | 2019-09-11 |
| 1902462575 | Darren Louie | Acupuncturist | 19 W 45th Street, Suite 501, New York, NY 10036 | 2019-05-19 |
| 1477019958 | Esoterra Acupuncture PC | Massage Therapist | 19 W 45 St, Ste 501, New York, NY 10036 | 2019-02-20 |
| 1679045009 | Novel Podiatry Pllc | Podiatrist | 28 West 44th Street, Ste 209, New York, NY 10036 | 2018-12-25 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1154805927 | Christine D'urso | Psychologist | 17-19 W. 45th Street, Suite 907, New York, NY 10036 | 2018-09-18 |
| 1861990335 | Therapath Partners, LLC | Clinical Medical Laboratory | 545 W 45th St Fl 7, New York, NY 10036 | 2018-01-30 |
| Find all providers in zip 10036 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1588203624 | James Koo | Physical Therapist | 333 E 38th St Rm 5-201, New York, NY 10016-2772 | 2020-01-06 |
| 1972142446 | Marco A Campello | Physical Therapist | 63 Downing Street, New York, NY 10014 | 2020-01-02 |
| 1821637653 | Tyler J Kenton Dpt Pllc | Physical Therapist | 1 Union Sq W Bsmt Level, New York, NY 10003-3303 | 2019-12-26 |
| 1497212815 | Thom Walsh | Physical Therapist | 250 W 26th St Rm 402, New York, NY 10001-6737 | 2019-02-21 |
| 1134684376 | Bishoy Wagih Youssef | Physical Therapist | One Central Park South, Level A, New York, NY 10019-1732 | 2019-02-01 |
| 1699245274 | Anne Michelle Dearwater | Physical Therapist | 36 W44th Street Suite 403, New York, NY 10036 | 2018-11-27 |
| 1578032348 | Ryan James Coye | Physical Therapist | 1 Central Park South, Level A, La Palestra, New York, NY 10019 | 2018-11-21 |
| 1659846277 | Gary Heller | Physical Therapist | 57 W 5th Street, New York, NY 10019 | 2018-10-10 |
| 1407331044 | Teresa Iodice-dadin | Physical Therapist | 333 1st Ave, New York, NY 10003-2914 | 2018-09-29 |
| Find all providers in NEW YORK | ||||
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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.