Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mordecai Park

Individual provider Physical Therapist · NPI 1760391031

Mordecai Park is a Physical Therapist in Waldorf, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

3281 Plaza Way
Waldorf, MD 20603-4861
Phone: (240) 754-5520
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 31022 (MD)

Record details

NPI number1760391031
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 3, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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