SAMUEL PARK PT, DPT
NPI 1861319196
Physical Therapist in San Bernardino, CA

Active since June 29, 2026
275 W HOSPITALITY LN STE 100, SAN BERNARDINO, CA 92408(909) 567-2221(909) 763-3216 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Park Pt, Dpt NPPES

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

SAMUEL PARK PT, DPT (NPI 1861319196) is an individual physical therapist in San Bernardino, California and active in the NPI registry since June 2026. He maintains a secondary practice location in West Covina.

NPPES Registry Identity

NPI1861319196
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL PARKCredential: PT, DPT
Location Address275 W HOSPITALITY LN STE 100San Bernardino, CA 92408-3238
Mailing Address229 E Commonwealth AveFullerton, CA 92832-4903 · (909) 567-2221 · Fax (909) 763-3216
Fax(909) 763-3216
Sole ProprietorYes
Enumeration DateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1861319196 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
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.
275 W HOSPITALITY LN STE 100, San Bernardino, CA 92408

Secondary Practice Location 1

Location 1100 N Barranca St Ste 920West Covina, CA 91791-1654 · Phone (626) 263-6469 · Fax (626) 332-5298

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

Acupuncturist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Physical Therapist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Physical Therapist (Orthopedic)
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Physical Therapist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Physical Therapist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Physical Therapist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Occupational Therapist
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408
Clinic/Center (Physical Therapy)
275 W HOSPITALITY LN STE 100
SAN BERNARDINO, CA 92408

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 Samuel Park's NPI number?

The NPI number for Samuel Park is 1861319196. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Where is Samuel Park located?

Samuel Park practices at 275 W Hospitality Ln Ste 100, San Bernardino, CA 92408. The listed phone number is (909) 567-2221.

What is Samuel 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 Samuel Park was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.