CHRISTOPHER PARK (NPI# 1467995985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467995985 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER PARK |
| Practice Address |
600 Washington Ave Suite 18u-a Philadelphia PA 19147-4836 |
| Mailing Address |
11805 Audubon Ave Philadelphia PA 19116-2416 |
| Practice Telephone | 2156784620 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT025677 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558776062 | Christopher Park | Pediatrics | Pediatric Hematology Oncology Cb#7236 170 Manning Drive, Chapel Hill, NC 27599 | 2014-06-23 |
| 1700209954 | Christopher Park | Case Manager/Care Coordinator | 18623 Gale Ave Bldg 154, City of Industry, CA 91748-1342 | 2014-01-23 |
| 1013203405 | Christopher Jin Park | Dentist | 16330 Se 256th St, Covington, WA 98042-4233 | 2011-06-23 |
| 1710181078 | Christopher Lane Park | Family Medicine | 11 E Jefferson St, Pontotoc, MS 38863-2807 | 2007-06-12 |
| 1902981376 | Christopher Todd Park | Chiropractor | 401 W Vandament Ave Ste 103, Yukon, OK 73099-4654 | 2006-10-26 |
| 1700863198 | Christopher William Park | Radiology | 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 | 2005-12-27 |
| 1831560283 | Christopher Park | Social Worker | 500 W 10th St, Wilmington, DE 19801-1422 | 2015-10-12 |
| 1497885339 | Christopher A Park | Plastic Surgery | 3153 Dauphin St, Mobile, AL 36606-4061 | 2007-03-07 |
| 1710013453 | Christopher Andrew Park | Occupational Therapist | 1717 Centennial Blvd, Suite 6, Springfield, OR 97477-3378 | 2007-02-26 |
| 1386786317 | Christopher Park | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2007-02-13 |
| Street Address |
600 WASHINGTON AVE SUITE 18U-A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19147-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376033365 | Wellcare Pharmacy 4 LLC | Pharmacy | 600 Washington Ave, Unit 12, Philadelphia, PA 19147-4836 | 2018-05-15 |
| 1053662197 | Optimal Physical Therapy Gym, LLC | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2012-09-28 |
| 1386964773 | Optimal Physical Therapy Gym LLC | Physical Therapist | 600 Washington Ave, Suite 18u-a, Philadelphia, PA 19147-4836 | 2010-06-08 |
| 1043310048 | Trissie Diem Nguyen | Pharmacist | 600 Washington Ave, Unit# 7, Philadelphia, PA 19147-4836 | 2006-09-22 |
| 1376643353 | Phuong H Do | Point of Service | 600 Washington Ave, Unit# 18e, Philadelphia, PA 19147-4836 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182297 | Austin Taylor Lloyd | Physical Therapist | 1107 E Erie Ave Ste 11, Philadelphia, PA 19124-5423 | 2020-10-26 |
| 1942821913 | Nolan Weaver | Physical Therapist | 1426 Frankford Ave, Philadelphia, PA 19125-4410 | 2020-05-01 |
| 1508337668 | Michael Hegarty | Physical Therapist | 2000 Hamilton St Ste 211, Philadelphia, PA 19130-3814 | 2018-12-16 |
| 1427536283 | Allison Dastugue | Physical Therapist | 1608 Walnut St Fl 2, Philadelphia, PA 19103-5457 | 2018-08-03 |
| 1770061590 | Philip Zhu | Physical Therapist | 1608 Walnut St Ste 200, Philadelphia, PA 19103-5426 | 2018-08-02 |
| 1780160713 | Jason Drott | Physical Therapist | 9337 Krewstown Rd # 39, Philadelphia, PA 19115-3710 | 2018-07-12 |
| 1508363508 | Shannon Riley | Physical Therapist | 517 S 4th St, Philadelphia, PA 19147-1569 | 2018-04-07 |
| 1922522036 | Evan Vasilauskas | Physical Therapist | 2000 Hamilton St Ste 202, Philadelphia, PA 19130-3849 | 2017-07-31 |
| 1124557681 | Erin Saucier | Physical Therapist | 601 Walnut St Ste 647, Philadelphia, PA 19106-3323 | 2017-06-08 |
| 1104182849 | Kevin Kubinski | Physical Therapist | 9337 Krewstown Rd, Philadelphia, PA 19115-3710 | 2012-04-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19147 |
Please comment or provide details below to improve the information on CHRISTOPHER PARK.
| 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.