Mina Park
Mina Park is registered under Physical Therapist in Private Practice in Colusa, California. Qualified in 2023, 3 years ago. Practices with Western Physical Therapy Inc, a 36-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
844 Bridge St Ste CColusa, CA 95932-2867
Phone: (530) 458-7770
Fax: (530) 458-7735
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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 number | 1285411405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Western Physical Therapy Inc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 206 |
|---|---|
| Services billed | 8,912 |
| Average patient age | 74 |
Colleagues at Western Physical Therapy Inc
- Aaron Alvarez, PT Physical Therapist · Dallas, TX
- Gillian J Barbaria, DPT Physical Therapist · Willows, CA
- Matthew Boyd Bennion, DPT Physical Therapist · Colusa, CA
- Andrea R Boatwright Physical Therapist · Live Oak, CA
- Lisa M Boyan, PHYSICALTHERAPIST Physical Therapist · Live Oak, CA
- Mr. Glenn Sammons Cassell, PT, DPT Physical Therapist · Warner Robins, GA
- Miss. Katherine D'Ambrosia Physical Therapist · Folsom, PA
- Damon Gill, DPT Physical Therapist · Colusa, CA
- Cody Jefferson Jacks, DPT Physical Therapist · Anderson, CA
- Mr. John Jay Kvale, DPT Physical Therapist · Eleele, HI
- Dr. Jose Antonio Santos, PT, DPT Physical Therapist · Pflugerville, TX
- Mr. Jaren Lane Warren, MPT, OCS, CMT, CSCS Physical Therapist · Kohler, WI
Other providers in Colusa
-
Matthew Boyd Bennion, DPT
844 Bridge St Ste C, Colusa, CA 95932-2867 · (530) 458-7770
-
Damon Gill, DPT
844 Bridge St Ste C, Colusa, CA 95932-2867 · (530) 458-7770
-
Christina Garcia Hayes, PT
706 Jay St, Colusa, CA 95932-2321 · (530) 458-4578
-
Western Physical Therapy, Inc
844 Bridge St Ste C, Colusa, CA 95932-2836 · (530) 458-7770