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

Justin Park, MD

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1265625941

Justin Park, MD is an Orthopedic Surgery in Glen Burnie, Maryland. Graduated from Indiana University School of Medicine in 2006, 20 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Maryland.

Years since qualifying
20
Trained at
Indiana University School of Medicine
Licensed in
KY, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-5577
Phone: (410) 768-5050
Fax: (410) 768-7830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence D0073546 (MD)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 43955 (KY)

Record details

NPI number1265625941
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2007
Last updated in NPPESApril 15, 2013

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Glen Burnie