JEONG HO PARK
NPI 1114654829
Physical Therapist in San Leandro, CA

Active since August 03, 2022
1652 MONO AVE, SAN LEANDRO, CA 94578(510) 481-3200 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2023, Nov 27, 2022, Aug 4, 2022 (3 updates tracked since 2022).

About Jeong Ho Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEONG HO PARK (NPI 1114654829) is an individual physical therapist in San Leandro, California, licensed in California (303035) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114654829
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJEONG HO PARK
Location Address1652 MONO AVESan Leandro, CA 94578-2020
Mailing Address39022 Presidio WayFremont, CA 94538-1221
Sole ProprietorYes
Enumeration DateAugust 3, 2022
Last NPPES UpdateDecember 7, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
NPI 1114654829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in CA · 303035 Licensed in TX · 1329142
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1652 MONO AVE, San Leandro, CA 94578

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Respiratory Therapist, Registered
1652 MONO AVE
SAN LEANDRO, CA 94578
Skilled Nursing Facility
1652 MONO AVE
SAN LEANDRO, CA 94578
Skilled Nursing Facility
1652 MONO AVE
SAN LEANDRO, CA 94578
Skilled Nursing Facility
1652 MONO AVE
SAN LEANDRO, CA 94578
Skilled Nursing Facility
1652 MONO AVE
SAN LEANDRO, CA 94578

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeong Ho Park's NPI number?

The NPI number for Jeong Ho Park is 1114654829. It was assigned to this individual provider in the NPPES registry on August 3, 2022.

Where is Jeong Ho Park located?

Jeong Ho Park practices at 1652 Mono Ave, San Leandro, CA 94578. The listed phone number is (510) 481-3200.

What is Jeong Ho Park's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jeong Ho Park was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.