Joseph Park, PT
NPI 1396980181ActiveIndividual· Physical Therapist· La Mesa, CA
Physical Therapist (PT) in La Mesa, California, licensed in CA and IL, with an NPI issued in December 2008. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1396980181 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Dec 8, 2008 |
| Last updated in NPPES | Jul 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 36571 | CA |
| Physical Therapist | 225100000X | 070-016785 | IL |
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) |
|---|
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