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

Dr. James D Park, DOM

Individual provider Acupuncturist · NPI 1255396719

Dr. James D Park, DOM is a Physical Therapist in Private Practice in Albuquerque, New Mexico. Qualified in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
33
Licensed in
NM
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

6501 Eagle Rock Ave NE Ste A6
Albuquerque, NM 87113-2478 Not confirmed with CMS for 14 years — call before visiting
Phone: (505) 797-5400
Fax: (505) 797-2905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2074 (NM)
Acupuncturist Taxonomy 171100000X · Licence 866 RX-1 (NM)

Record details

NPI number1255396719
Entity typeIndividual (Type 1)
GenderMale
Credentials DOM
Sole proprietorYes
NPI enumeratedApril 19, 2006
Last updated in NPPESSeptember 20, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Albuquerque