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

Brandon Park, DPT

Individual provider Physical Therapist · NPI 1356124010

Brandon Park, DPT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

233 Broadway Rm 1775
New York, NY 10279-1810
Phone: (212) 921-7900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 5th Ave Rm 506, New York, NY 10017-7838 — (212) 921-7900

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 050567 (NY)

Record details

NPI number1356124010
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 16, 2023
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in New York