Individual provider · Type 1 NPI

Samuel Park, PT, DPT

Physical Therapist · San Bernardino, CA

NPI number 1861319196 Active

Practice location

275 W Hospitality Ln Ste 100
San Bernardino, CA 92408-3238

Fax (909) 763-3216

Mailing address

229 E Commonwealth Ave
Fullerton, CA 92832-4903

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XNone listed

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1861319196

Samuel Park, PT, DPT's National Provider Identifier is 1861319196, issued on Jun 29, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in San Bernardino, CA. The record was last updated on Jun 29, 2026.