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

Dr. Joseph Park

Individual provider Physical Therapist · NPI 1043090632

Dr. Joseph Park is a Physical Therapist in Private Practice in Manassas, Virginia. Qualified in 2023, 3 years ago. Practices with Piedmont Physical Therapy Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

8551 Rixlew Ln Ste 340
Manassas, VA 20109-4278
Phone: (703) 368-7343
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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 2305215693 (VA)

Record details

NPI number1043090632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address167 Cedar Park Ct, Front Royal, VA 22630-7069

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)
Group practice Piedmont Physical Therapy Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manassas