Jason Park, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00782700 Issued in NJ

Practice address

535 Grand Ave
Englewood, NJ 07631-4934

Phone

(201) 541-1111

NPI assigned

Mar 6, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Back to Health Physical Therapy Associates, P.a.

  • Physical Therapist
  • Teaneck, NJ
  • NPI 1174712178
  Medicare reassignment NPD
• Home Rehab Consultants, LLC

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1750458782
  Medicare reassignment NPD
• Comprehensive Pain Therapy Center, PC

  • Rehabilitation Practitioner
  • Englewood, NJ
  • NPI 1851478846
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1376178731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RELDYES AVE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051231",
            "telephone_number": "551-404-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314934",
            "telephone_number": "201-541-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JASON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00782700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenica Paredes, DMD
• Coral Parikh, MD
• Cheleen Chaerin Park, PHARMD
• David Joon Park, MD
• Jamie Park, NP
• Jin Hyun Park
• Mie Hea Park
• Sae Yeon Park, APN
• Selin Park, FNP
• Yoojun Park, DDS

• Occupational Therapist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.