Allison Park, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A04174 Issued in KY

Practice address

9300 Civic Way
Prospect, KY 40059-6619

Phone

(502) 233-3855

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1194453217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 BRANDYWYNE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911361",
            "telephone_number": "270-205-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 CIVIC WAY",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400596619",
            "telephone_number": "502-233-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elle Oppenharris
• Amanda Oress, OTR/L
• Orthopaedic Recovery
• Shelby L Overpeck, PMHNP
• Selena Pape, DDS
• Twilla D Parr, MS., OTR/L
• Pediatric Dentisty of Prospect, PSC
• Daniel Bernheim Penner, M.D.
• Michaela Perry, PHARMD
• Emily Peters, MS., OTR/L

• Physical Therapy Assistant in Prospect, KY
• Providers in Prospect, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.