{"npi":"1053370239","type":"NPI-1","status":"active","name":{"display":"Dr. Jason Park D.P.T.","other":[],"first":"JASON","last":"PARK","middle":"HYUK","credential":"D.P.T."},"specialty":{"primary_taxonomy":"225100000X","primary_taxonomy_description":"Physical Therapist","slug":"physical-therapist","schema_org_specialty":null,"all":[{"code":"2251S0007X","description":"Sports Physical Therapist","primary":false,"state":"CA","license":"PT24454"},{"code":"225100000X","description":"Physical Therapist","primary":true,"state":"CA","license":"PT24454"}]},"addresses":[{"purpose":"LOCATION","street_1":"4482 BARRANCA PKWY","city":"IRVINE","state":"CA","postal_code":"926047701","country_code":"US","street_2":"SUITE 195","phone":"9496793337","fax":"9496793336"},{"purpose":"MAILING","street_1":"4482 BARRANCA PKWY","city":"IRVINE","state":"CA","postal_code":"926047701","country_code":"US","street_2":"SUITE 195","phone":"9496793337","fax":"9496793336"}],"license":{"state":"CA","number":"PT24454"},"identifiers":[{"type_code":"01","label":"Other","value":"0PT244540","state":"CA","issuer":"BLUE SHIELD PIN"},{"type_code":"01","label":"Other","value":"AR052","state":"CA","issuer":"MEDICARE GROUP PTAN"},{"type_code":"01","label":"Other","value":"PT24454","state":"CA","issuer":"PHYSICAL THERAPY BOARD OF CALIFORNIA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080507000188","type_code":"14-65","type_desc":"PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE","state":"CA","pac_id":"6800975525"}]},"enumeration_date":"2006-03-17","last_updated":"2022-01-05","_meta":{"source":"NPPES","snapshot_date":"2022-01-05","doc_url":"https://findmynpi.com/api"}}