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DR. JEREMY PARK PT, DPT, CSCS
NPI 1245057280
Physical Therapist - Orthopedic in Oswego, NY

Active since September 23, 2024
110 W 6TH ST, OSWEGO, NY 13126(315) 345-1262 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy Park Pt, Dpt, Cscs NPPES

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

DR. JEREMY PARK PT, DPT, CSCS (NPI 1245057280) is an individual orthopedic provider in Oswego, New York, licensed in New York (052956) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1245057280
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JEREMY PARKCredential: PT, DPT, CSCS
Location Address110 W 6TH STOswego, NY 13126-2507
Mailing Address5511 Legionnaire Dr Apt 206Cicero, NY 13039-3517 · (315) 345-1262
Phone(315) 345-1262
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 22, 2024
✔ NPI 1245057280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 052956
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
110 W 6TH ST, Oswego, NY 13126
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Other Providers at the Same Location NPPES 20

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

REHAB RESOURCES
General Acute Care Hospital
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
RHONALDO AGUNG SILABAN MD
Emergency Medicine
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MRS. AMIE ELLENE JOHNSON CRNA
Nurse Anesthetist, Certified Registered
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MISS TAMMY ELIZABETH ENGLE N.P.
Nurse Practitioner (Adult Health)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MARIE REYES-JULIAN PT
Physical Therapist
110 W 6TH ST, 140
OSWEGO, NY 13126
Oswego County (315) 349-5558
MR. WAI-CHEUK RICHARD KUNG PT
Physical Therapist
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5558
PHILIP SMITH RD
Dietitian, Registered
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
DR. MARK K JACKSON M.D.
Radiology (Diagnostic Radiology)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5000

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 Jeremy Park's NPI number?

The NPI number for Jeremy Park is 1245057280. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is Jeremy Park located?

Jeremy Park practices at 110 W 6th St, Oswego, NY 13126. The listed phone number is (315) 345-1262.

What is Jeremy Park's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Park was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.