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

Dana Nichole Park, DPT

Individual provider Physical Therapist · NPI 1710606496

Dana Nichole Park, DPT is a Physical Therapist in Private Practice in Live Oak, Texas. Qualified in 2022, 4 years ago. Practices with Rossmoor Rehabilitation Inc, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
4
Licensed in
CA, TX
In the registry since
2022
Specialties on file
2
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

7939 Pat Booker Rd Ste 120
Live Oak, TX 78233-2776
Phone: (210) 660-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12501 Seal Beach Blvd Ste 210, Seal Beach, CA 90740-2755 — (562) 493-8800

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1407421 (TX)
Physical Therapist Taxonomy 225100000X · Licence 302706 (CA)

Record details

NPI number1710606496
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Rossmoor Rehabilitation Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Live Oak