Jason Hyuk Park, D.P.T.
NPI 1053370239ActiveIndividual· Physical Therapist· Irvine, CA
Physical Therapist (D.P.T.) in Irvine, California, trained at University of Southern California Keck School of Medicine (class of 1999). Medicare paid $29,546 for services to 100 patients in 2024.
Overview
| NPI | 1053370239 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | No |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT24454 | CA |
| Physical Therapist, Sports | 2251S0007X | PT24454 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 1,243 across 11 procedure codes |
| Paid by Medicare | $29,546 |
Education and affiliations
| Medical school | University of Southern California Keck School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Southland Physical Therapy IncCosta Mesa, CA · 27 clinicians
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All 316 physical therapists in Irvine · All physical therapists in California