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

Jiseon Park, PT, DPT

Individual provider Physical Therapist · NPI 1265817746

Jiseon Park, PT, DPT is a Physical Therapist in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2015.

Licensed in
VA
In the registry since
2015
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

8551 Rixlew Ln Ste 340
Manassas, VA 20109-4277
Phone: (703) 368-7343
Fax: (703) 368-0719
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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 2305209357 (VA)

Record details

NPI number1265817746
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESJuly 24, 2015

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