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

Dr. Eunse Park, PT, PHD

Individual provider Physical Therapist · NPI 1407740293

Dr. Eunse Park, PT, PHD is a Physical Therapist in Private Practice in Suwanee, Georgia. Qualified in 2014, 12 years ago. Practices with J and J Physical Therapy LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Alabama and Georgia.

Years since qualifying
12
Licensed in
AL, GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

80 Horizon Dr Ste 304B
Suwanee, GA 30024-7740
Phone: (770) 591-8797
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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 CP044415T (GA)
Physical Therapist Taxonomy 225100000X · Licence PTH12228 (AL)

Record details

NPI number1407740293
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , PHD
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address4260 Granby Cir, Cumming, GA 30041-5807

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice J And J Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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