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

Youjin Park, DPT

Individual provider Physical Therapist · NPI 1407548787

Youjin Park, DPT is a Physical Therapist in Private Practice in Puyallup, Washington. Qualified in 2022, 4 years ago. Practices with Ivyrehab Network Inc, a 653-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, New Jersey, Texas and Washington.

Years since qualifying
4
Licensed in
GA, NJ, TX, WA
In the registry since
2023
Specialties on file
4
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3912 10th St SE Ste 101
Puyallup, WA 98374-2188
Phone: (253) 848-4700
Fax: (253) 848-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4755 S 48th St, Tacoma, WA 98409-1919 — (253) 475-4611

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61433081 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT016291 (GA)
Physical Therapist Taxonomy 225100000X · Licence 40QA02126100 (NJ)
Physical Therapist Taxonomy 225100000X · Licence 1371564 (TX)

Record details

NPI number1407548787
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ivyrehab Network Inc — 653 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Puyallup