Jaehyun Rita Park, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01190600 Issued in NJ

Practice address

140 Old Orangeburg Rd BLDG 58
Orangeburg, NY 10962-1151

Phone

(845) 680-8650

NPI assigned

Sep 15, 2025

Last updated

Sep 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1649141326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BERKSHIRE PL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322003",
            "telephone_number": "201-208-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 OLD ORANGEBURG RD BLDG 58",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621151",
            "telephone_number": "845-680-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAEHYUN",
        "middle_name": "RITA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01190600",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01190600",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "029260-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orangetown Orthopedic Associates,LLP
• Orangetown Podiatry PC
• Orthotic & Prosthetic Arts
• Jane Osuna, LCSW
• Lisa M Palko
• Sung Soo Park, M.D.
• Kunjal Yeshesh Patel
• Nadia Candice Patrick, REGISTERED NURSE
• Marcel Perl, MD
• Christina L. Petersen, D.C.

• Occupational Therapist in Orangeburg, NY
• Providers in Orangeburg, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; 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.