Sangdae Park, - Physical Therapist in Sebastopol, CA

Sangdae Park, is a Physical Therapist based in Sebastopol, California. Sangdae Park is licensed to practice in California (license number 43130) and his current practice location is 556 Lyding Ln, Sebastopol, California. He can be reached at his office (for appointments etc.) via phone at (202) 870-0644.

NPI number for Sangdae Park is 1922543875 and his current mailing address is 556 Lyding Ln, Sebastopol, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922543875.

Contact Information

Sangdae Park,
556 Lyding Ln,
Sebastopol, CA 95472-3311
(202) 870-0644
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSangdae Park
GenderMale
SpecialityPhysical Therapist
Location556 Lyding Ln, Sebastopol, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922543875
  • Provider Enumeration Date: 01/02/2017
  • Last Update Date: 01/02/2017

Medical Identifiers

Medical identifiers for Sangdae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922543875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 43130 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sangdae Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sangdae Park,
556 Lyding Ln,
Sebastopol, CA 95472-3311

Ph: () -
Sangdae Park,
556 Lyding Ln,
Sebastopol, CA 95472-3311

Ph: (202) 870-0644

Reviews and Comments


Physical Therapist in Sebastopol, CA

Paula Tanksley, PT
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Phone: 707-888-5093    Fax: 707-222-6572
Teresa L Burk, P.T.
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Kathy Mcconnell, PT
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Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472
Phone: 707-829-3282    Fax: 707-829-3287
Mrs. Samantha Marie Jacobs, M.S.P.T.
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Medicare: Accepting Medicare Assignments
Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472
Phone: 707-829-3282    Fax: 707-829-3287
Elyse Detweiler Mccluskey, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472
Phone: 707-829-3282    Fax: 707-829-3287
Patricia Donovan Martinez, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472
Phone: 707-829-3282    Fax: 707-829-3287
Ms. Julie Clare Smith, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Swain Ave, Sebastopol, CA 95472
Phone: 707-829-1250    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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