MR. JINGEU M PARK (MSPT) – Physical Therapist, NPI 1326016437

MR. JINGEU M PARK (MSPT) is a healthcare provider. based in Dillon, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 12072 (CO). The NPI Number for MR. JINGEU M PARK (MSPT) is 1326016437

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. JINGEU M PARK (MSPT)
NPI
1326016437
Phone
(970) 262-0179
Address
365 DILLON RIDGE RD STE 100
Enumeration Date
14 March 2006
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9706683169
Graduation Year
2002 (24 years ago)
PAC ID
9830122613
Group Practice PAC ID
3577475714
Professional Enrollment ID
I20210322000287
Address ID
CO804435967FR100XXWAYX401

Contacts

Secure Messaging
VVMC.DIRECT@direct.vvmc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for MR. JINGEU M PARK (MSPT)

  • 365 DILLON RIDGE RD STE 100

    DILLON, CO 804356343

    Phone: (970) 262-0179

    Type: Location

  • 555, Adams Avenue, Silverthorne, Summit County, Colorado, 80498, United States

    SUITE A AND B

    SILVERTHORNE, CO 80498

    Phone: (800) 793-5464

    Fax: (267) 321-2099

    Type: Mailing

  • PO BOX 40000

    VAIL, CO 816587520

    Phone: (970) 668-3169

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210322000287IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20134$0
97140Therapy procedure using manual technique, each 15 minutes18429$0
97530Therapy procedure using functional activities6117$0
97161Evaluation for physical therapy, typically 20 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 80435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577475714View full group profile
NameSpecialtyState
Diagnostic RadiologyCO
-CO
-VA
Radiation OncologyCO
Nurse PractitionerMT
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Diagnostic Radiology, Interventional RadiologyCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Can I verify MR. JINGEU M PARK (MSPT) with an NPI only?
You can start verification with NPI 1326016437 for MR. JINGEU M PARK (MSPT), then check state licensing separately.
Does the file indicate MR. JINGEU M PARK (MSPT) is practicing under active NPI?
Directory data currently reports MR. JINGEU M PARK (MSPT) as active.
What is MR. JINGEU M PARK (MSPT)'s primary classification?
Physical Therapist is the headline specialty for MR. JINGEU M PARK (MSPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JINGEU M PARK (MSPT)?
MR. JINGEU M PARK (MSPT)'s geographic hint is Dillon, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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