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

Mina Park

Individual provider Physical Therapist · NPI 1285411405

Mina Park is a 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 C
Colusa, CA 95932-2867
Phone: (530) 458-7770
Fax: (530) 458-7735
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1285411405
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address1495 Victor Ave Ste A, Redding, CA 96003-4093

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 Western Physical Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Colusa