Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellenne J Park, PT, DPT, CSRS

Individual provider Physical Therapist · NPI 1730757071

Ellenne J Park, PT, DPT, CSRS is a Physical Therapist in San Francisco, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone: (415) 476-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1730757071
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CSRS
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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