DR. JOSEPH PARK – Physical Therapist, NPI 1043090632

DR. JOSEPH PARK is a healthcare provider. based in Manassas, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2305215693 (VA). The NPI Number for DR. JOSEPH PARK is 1043090632

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH PARK
NPI
1043090632
Phone
(703) 368-7343
Address
8551 RIXLEW LN STE 340
Enumeration Date
2 October 2023
Last Update Date
2 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033687343
Graduation Year
2023 (3 years ago)
PAC ID
7214373653
Group Practice PAC ID
6709935935
Professional Enrollment ID
I20240307004123
Address ID
VA201094278MA8551XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for DR. JOSEPH PARK

  • 8551 RIXLEW LN STE 340

    MANASSAS, VA 201094278

    Phone: (703) 368-7343

    Type: Location

  • 167 CEDAR PARK CT

    FRONT ROYAL, VA 226307069

    Phone: (703) 939-5555

    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: 2024-03-07

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
I20240307004123IPhysical Therapist In Private PracticeVATBD

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 minutes22335$0
97140Therapy procedure using manual technique, each 15 minutes7323$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7015$0
View full utilization report →

Insurance plans in this area (ZIP 20109)

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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: 6709935935View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Does DR. JOSEPH PARK share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOSEPH PARK uses 1043090632.
Can I rely on DR. JOSEPH PARK being an active provider?
As of the registry snapshot, DR. JOSEPH PARK is marked active.
What taxonomy line describes DR. JOSEPH PARK?
For research purposes, treat DR. JOSEPH PARK as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JOSEPH PARK on a map?
Expect Manassas, Virginia as a primary anchor for DR. JOSEPH PARK unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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