Sangdae Park
NPI 1922543875 · Physical Therapist · Sebastopol, CA
Sangdae Park is a Physical Therapist provider in Sebastopol, CA (NPI 1922543875).
Provider details
- NPI number
- 1922543875
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 43130 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-02
- Last updated
- 2017-01-02
Frequently asked questions
- What is Sangdae Park's NPI number?
- Sangdae Park's National Provider Identifier (NPI) is 1922543875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sangdae Park's specialty?
- Sangdae Park is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sangdae Park located?
- Sangdae Park's practice location on file with NPPES is 556 Lyding Ln, Sebastopol, CA 95472-3311.
- What is Sangdae Park's phone number?
- The practice phone number listed in the NPPES registry for Sangdae Park is (202) 870-0644.
- Is Sangdae Park's NPI active?
- Yes — Sangdae Park's NPI (1922543875) is active in the NPPES registry as of the last update on 2017-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.