KI SOO PARK (NPI# 1205480779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205480779 |
| Entity Type | Individual |
| Full Name | KI SOO PARK |
| Practice Address |
12825 Minnieville Road Suite 201 Lake Ridge VA 22192 |
| Mailing Address |
4610 Lawn Ct Fairfax VA 22032 |
| Practice Telephone | 7036473130 |
| Mailing Telephone | 5713384865 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184849473 | Ki Taek Park | Acupuncturist | 4943 La Palma Ave, Suite D., La Palma, CA 90623-2054 | 2007-04-13 |
| 1346380581 | Ki Young Park | Physical Medicine & Rehabilitation | 14229 37th Ave, Basement, Flushing, NY 11354-4102 | 2007-02-07 |
| 1437296928 | Ki B Park | Chiropractor | 1201 S. Beach Blvd, Suite 107, La Habra, CA 90631 | 2007-01-31 |
| 1912176926 | Ki Julia Park | Pharmacist | 15416 Northern Blvd, Flushing, NY 11354-5030 | 2008-02-23 |
| 1902994700 | Ki Eun Park | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-10 |
| Street Address |
12825 MINNIEVILLE ROAD SUITE 201 |
| City | LAKE RIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| 1992234298 | Misty Melissa Brady-lee | Counselor | 4736 Grand Masters Way, Woodbridge, VA 22192 | 2017-06-08 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1326648460 | Jennifer Presnell-ocon | Physical Therapy Assistant | 6201 E Virginia Beach Blvd, Norfolk, VA 23502-2824 | 2020-10-28 |
| 1689272247 | Cassandra Cottone | Physical Therapy Assistant | 14157 Coble Laskey Ct, Centreville, VA 20121-3881 | 2020-10-15 |
| 1083211627 | Sherry Mckenzie Truitt | Physical Therapy Assistant | 2298 Old Baywood Rd, Galax, VA 24333-3597 | 2020-10-06 |
| 1093327710 | Kirsten Marie Schmidt | Physical Therapy Assistant | 1213 Frosty Rd, Chesapeake, VA 23325-2915 | 2020-08-24 |
| 1023629565 | Allison Grace Baines | Physical Therapy Assistant | 8911 Mapleview Ave, Henrico, VA 23294-6112 | 2020-08-10 |
| 1619588167 | Kimberly Dawn Phomsopha | Physical Therapy Assistant | 44124 Woodridge Pkwy, Leesburg, VA 20176-6935 | 2020-08-10 |
| 1346863701 | Raelynn Nicole Mcmechan | Physical Therapy Assistant | 75 Bass Dr Apt 102, Stafford, VA 22554-7165 | 2020-05-20 |
| 1023639986 | Husam Eldin Bani | Physical Therapy Assistant | 18429 Montview Sq, Leesburg, VA 20176-1260 | 2020-05-01 |
| 1992326912 | Amir Javeed | Physical Therapy Assistant | 12739 Fair Crest Ct Apt 303, Fairfax, VA 22033-3860 | 2020-04-30 |
| 1033748272 | Amy Jean Osowski | Physical Therapy Assistant | Ride On Ranch, 38416 Morrisonville Rd., Lovesttville, VA 20180 | 2020-04-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE RIDGE |
| Zip Code | 22192 |
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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.