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

Dr. James D Park, DOM

Individual provider Acupuncturist · NPI 1255396719

Dr. James D Park, DOM is a Physical Therapist in Private Practice in Albuquerque, New Mexico. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
33
Licensed in
NM
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

6501 Eagle Rock Ave NE Ste A6
Albuquerque, NM 87113-2478
Phone: (505) 797-5400
Fax: (505) 797-2905
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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 2074 (NM)
Acupuncturist Taxonomy 171100000X · Licence 866 RX-1 (NM)

Record details

NPI number1255396719
Entity typeIndividual (Type 1)
GenderMale
Credentials DOM
Sole proprietorYes
NPI enumeratedApril 19, 2006
Last updated in NPPESSeptember 20, 2012
Mailing address7343 Wild Olive Ave Ne, Albuquerque, NM 87113-2079

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque