Organization Active NPI

Park and Park Occupational and Physical Therapy, PLLC

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1104232966
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PARK AND PARK OCCUPATIONAL AND PHYSICAL THERAPY, PLLC
Practice address
839 58TH St Apt 3
Brooklyn, NY 11220-3679
Phone
(718) 633-6020
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Minhee Park
Title
Occupational Therapist
Phone
(646) 460-4773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

839 58TH St Apt 3
Brooklyn, NY 11220-3679

Mailing address

839 58TH St Apt 3
Brooklyn, NY 11220-3679

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1104232966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 58TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 58TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203679",
            "telephone_number": "718-633-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AND PARK OCCUPATIONAL AND PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MINHEE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "646-460-4773"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.