Dynamic Core Rehab
NPI 1184569774ActiveOrganization· Physical Therapist· Suwanee, GA
Physical Therapist in Suwanee, Georgia, registered in NPPES in April 2026. The authorized official on file is Eunse Park, PT, President.
Overview
| NPI | 1184569774 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2026 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Suwanee
- 1720159122
- 1295412773
- 1760641294
- 1053626473
- 1972756617
- 1467645689
- 1073948063
- 1952844318
- 1891890844
- 1568551877
- 1518647981
- 1679393813