MS. JIWON PARK PHYSICAL THERAPIST
NPI 1437280161
Specialist in Spring Valley, NY
About Ms. Jiwon Park Physical Therapist NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JIWON PARK PHYSICAL THERAPIST (NPI 1437280161) is an individual specialist in Spring Valley, New York, licensed in New York (021333) and active in the NPI registry since March 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jiwon Park Physical Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jiwon Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Valley, NY 10977
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jiwon Park's NPI number?
The NPI number for Jiwon Park is 1437280161. It was assigned to this individual provider in the NPPES registry on March 7, 2007.
Where is Jiwon Park located?
Jiwon Park practices at 3 Perlman Dr Suite# 101, Spring Valley, NY 10977. The listed phone number is (201) 673-4154.
What is Jiwon Park's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jiwon Park enrolled in Medicare?
Yes. Jiwon Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jiwon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jiwon Park reassigns Medicare benefits to Core Care Physical Therapy And Acupuncture,pllc (Spring Valley, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jiwon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jiwon Park was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Jiwon Park, PHYSICAL THERAPIST · NPI 1437280161
Specialist provider in Spring Valley, New York. Individual provider, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1437280161 (Entity type: Individual)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 021333 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3 PERLMAN DR, SUITE# 101, Spring Valley, NY 10977-5281
- **Phone:** (201) 673-4154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Core Care Physical Therapy And Acupuncture,pllc (NPI 1730213984, Spring Valley, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1437280161) · Data from the CMS NPPES public registry.