KI SOO PARK
NPI 1205480779
Physical Therapy Assistant in Lake Ridge, VA

Active since August 01, 2019
12825 MINNIEVILLE ROAD SUITE 201, LAKE RIDGE, VA 22192(703) 647-3130 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ki Soo Park NPPES

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

KI SOO PARK (NPI 1205480779) is an individual physical therapy assistant in Lake Ridge, Virginia and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1205480779
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameKI SOO PARK
Location Address12825 MINNIEVILLE ROAD SUITE 201Lake Ridge, VA 22192
Mailing Address4610 Lawn CtFairfax, VA 22032 · (571) 338-4865
Sole ProprietorNo
Enumeration DateAugust 1, 2019
NPI 1205480779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
12825 MINNIEVILLE ROAD SUITE 201, Lake Ridge, VA 22192

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 Ki Park's NPI number?

The NPI number for Ki Park is 1205480779. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Ki Park located?

Ki Park practices at 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192. The listed phone number is (703) 647-3130.

What is Ki Park's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Ki Park was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.