Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Park, DPT

Individual provider Physical Therapist · NPI 1437691870

Andrew Park, DPT is a Physical Therapist in Private Practice in Riverside, California. Qualified in 2016, 10 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Licensed in
WA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9900 Indiana Ave Ste 8
Riverside, CA 92503-5498
Phone: (951) 376-1120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60691657 (WA)

Record details

NPI number1437691870
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 16, 2016
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024
Mailing address6177 Kirk St, Riverside, CA 92506-4636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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