SHIN WOOK PARK (NPI# 1679195754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679195754 |
| Entity Type | Individual |
| Full Name | SHIN WOOK PARK |
| Credential | PTA |
| Practice Address |
15315 1st Ave Ne Duvall WA 98019-5004 |
| Mailing Address |
10014 Ne 127th Pl Apt A205 Kirkland WA 98034-8804 |
| Practice Telephone | 4257880505 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | P160925668 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15315 1ST AVE NE |
| City | DUVALL |
| State | WA |
| Zip Code | 98019-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053421495 | Lynn Christine Smythe | Marriage & Family Therapist | 15315 1st Ave Ne, Suite #212, Duvall, WA 98019-6339 | 2006-08-30 |
| 1871084129 | Larch Counseling Pllc | Counselor | 15315 1st Ave Ne, Suite 205-a, Duvall, WA 98019 | 2018-05-22 |
| 1215470281 | Serenity Medical Massage & Bodywork LLC | Specialist | 15315 1st Ave Ne, Duvall, WA 98019-6339 | 2016-11-23 |
| 1598208597 | Cora Bond Lombardi | Marriage & Family Therapist | 15315 1st Ave Ne, Suite 206, Duvall, WA 98019-6339 | 2016-11-22 |
| 1881048957 | Sol Marie Doran | Counselor | 15315 1st Ave Ne, Duvall, WA 98019-6339 | 2016-04-14 |
| 1902233315 | Chantel Thurman | Counselor | 15315 1st Ave Ne, Duvall, WA 98019 | 2013-09-30 |
| 1619309655 | Snoqualmie Valley Midwifery & Women's Health, LLC | Midwife | 15315 1st Ave Ne, Suite 204, Duvall, WA 98019 | 2013-08-01 |
| 1396087185 | Katherine Frances Jacques | Counselor | 15315 1st Ave Ne, 7b, Duvall, WA 98019 | 2013-03-20 |
| 1952614646 | Karin E. Brackebusch | Counselor | 15315 1st Ave Ne, 1393, Duvall, WA 98019-6339 | 2010-07-22 |
| 1760516132 | Jody Marie Bickle | Specialist | 15315 1st Ave Ne, Duvall, WA 98019 | 2007-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240202 | Emily Ellen Squiers | Counselor | 26420 Virginia St, Suite 2, Duvall, WA 98019 | 2018-09-27 |
| 1235629072 | Aubrey Christine Lane | Marriage & Family Therapist | Larch Counseling 15315 1st Avenue Northeast, #205-a, Duvall, WA 98019 | 2018-05-17 |
| 1528505575 | Jackie Schaedler Boak | Registered Nurse | 15309 2nd Ave Ne, Duvall, WA 98019 | 2017-01-30 |
| 1912326778 | Dan Claussen | Marriage & Family Therapist | 15315 Ne 1st Ave Ne, Suite 205-a, Duvall, WA 98019 | 2014-04-09 |
| 1134405509 | Amy R Bush | Physical Therapist | 15435 Main St. Ne #101, Duvall, WA 98019 | 2011-10-28 |
| 1407134919 | Cynthia Rebecca Tyler | Dentist | 26504 Ne Valley Street, Duvall, WA 98019 | 2011-08-01 |
| 1215256730 | Diane Zakrajsek | Dietitian, Registered | 26502 Ne Valley Street Suite 102, Duvall, WA 98019 | 2010-05-24 |
| 1093917320 | Jolynn Wagner | Psychologist | 26502 Ne Valley St Suite 101, Duvall, WA 98019 | 2007-05-31 |
| 1760690242 | Rebecca Jean Maxcy | Specialist | 15705 Main St, Duvall, WA 98019 | 2007-05-18 |
| 1538377064 | The Camelot Society | Intermediate Care Facility, Mentally Retarded | 26509 N.e. Virginia St., Duvall, WA 98019 | 2007-05-18 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1861099228 | Mynor David Del Cid | Physical Therapy Assistant | 101 150th Ave Ne Apt A, Bellevue, WA 98007-5048 | 2020-10-07 |
| 1912504085 | Erin Flynn Larson | Physical Therapy Assistant | 432 Third St., Langley, WA 98260 | 2020-10-02 |
| 1417554551 | Elizabeth Arin Sugarman | Physical Therapy Assistant | 1132 Dilley Rd, Tieton, WA 98947-9719 | 2020-10-01 |
| 1558972216 | Matthew Stalnik | Physical Therapy Assistant | 35025 90th Ave S Ste 4, Roy, WA 98580-8218 | 2020-08-14 |
| 1912528787 | Carrie Lynn Griffin | Physical Therapy Assistant | 3027 Gardenia Ln Sw Apt 8-204, Tumwater, WA 98512-6058 | 2020-05-02 |
| 1699396614 | Kaja Rudinow | Physical Therapy Assistant | 1448 Nw Market St Ste 200, Seattle, WA 98107-3743 | 2020-04-30 |
| 1508406927 | Angela Josefina Peters | Physical Therapy Assistant | 3422 Lady Fern Loop Nw, Olympia, WA 98502-3286 | 2020-01-14 |
| 1134769250 | Micah Bartlett | Physical Therapy Assistant | 3801 Silver Beach Ave, Bellingham, WA 98226-4326 | 2020-01-07 |
| 1205470051 | Jessica Miller | Physical Therapy Assistant | 1111 S 376th St, Milton, WA 98354-5501 | 2019-11-05 |
| 1104477637 | Anna Vanegdom | Physical Therapy Assistant | 12590 Whitecap Ln, Anacortes, WA 98221-8778 | 2019-09-25 |
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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.