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

Samuel Park, PT, DPT

Individual provider Physical Therapist · NPI 1861319196

Samuel Park, PT, DPT is a Physical Therapist in Private Practice in San Bernardino, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
1
In the registry since
2026
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

275 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3238
Phone: (909) 567-2221
Fax: (909) 763-3216
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 100 N Barranca St Ste 920, West Covina, CA 91791-1654 — (626) 263-6469

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1861319196
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJune 29, 2026
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in San Bernardino