SANGDAE PARK
NPI 1922543875
Physical Therapist in Sebastopol, CA

Active since January 02, 2017
556 LYDING LN, SEBASTOPOL, CA 95472(202) 870-0644 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sangdae Park NPPES

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

SANGDAE PARK (NPI 1922543875) is an individual physical therapist in Sebastopol, California, licensed in California (43130) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1922543875
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSANGDAE PARK
Location Address556 LYDING LNSebastopol, CA 95472-3311
Mailing Address556 Lyding LnSebastopol, CA 95472-3311
Sole ProprietorYes
Enumeration DateJanuary 2, 2017
NPI 1922543875 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
License Licensed in CA · 43130
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.
556 LYDING LN, Sebastopol, CA 95472

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 Sangdae Park's NPI number?

The NPI number for Sangdae Park is 1922543875. It was assigned to this individual provider in the NPPES registry on January 2, 2017.

Where is Sangdae Park located?

Sangdae Park practices at 556 Lyding Ln, Sebastopol, CA 95472. The listed phone number is (202) 870-0644.

What is Sangdae 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 Sangdae Park was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.