K
IndividualActive
Ki Soo Park
Physical Therapy Assistant
NPI: 1205480779Lake Ridge, Virginia, 22192(703) 647-3130Male
About Ki Soo Park
Ki Soo Park is a male healthcare professional specializing in Physical Therapy Assistant, registered under National Provider Identifier (NPI) number 1205480779. Their primary practice is located at 12825 MINNIEVILLE ROAD SUITE 201, Lake Ridge, Virginia 22192.
Patients can reach the office at (703) 647-3130. Ki Soo Park has been NPI-registered since 2019.
Doctor Details
Identity & Credentials
- NPI Number
- 1205480779
- Entity Type
- Individual
- First Name
- Ki
- Last Name
- Park
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 12825 MINNIEVILLE ROAD SUITE 201
- City
- Lake Ridge
- State
- Virginia
- ZIP
- 22192
- Country
- United States
- Phone
- (703) 647-3130
Specialty & Taxonomy
- Primary Specialty
- Physical Therapy Assistant
- Classification
- Physical Therapy Assistant
- Taxonomy Code
- 225200000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 4610 LAWN CT
- City
- FAIRFAX
- State
- VA
- ZIP
- 22032
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Ki Soo Park's NPI number?
Ki Soo Park's National Provider Identifier (NPI) is 1205480779. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Ki Soo Park specialize in?
Ki Soo Park specializes in Physical Therapy Assistant.
Where is Ki Soo Park located?
Ki Soo Park practices at 12825 MINNIEVILLE ROAD SUITE 201, Lake Ridge, Virginia 22192. You can reach them by phone at (703) 647-3130.
Does Ki Soo Park accept Medicare?
Based on available data, Ki Soo Park is not currently enrolled in the Medicare program.
Does Ki Soo Park offer telehealth or virtual visits?
Ki Soo Park does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Ki Soo Park is 1205480779.