Chai Park, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008463 Issued in GA

Practice address

5871 Glenridge Dr Ste 100
Atlanta, GA 30328-5304

Phone

(770) 415-9165

NPI assigned

Jun 20, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Building Bridges Therapy Inc

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1326200452

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1659002830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 GLENRIDGE DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285304",
            "telephone_number": "770-415-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 GLENRIDGE DR STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285304",
            "telephone_number": "770-415-9165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Weber Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416468",
            "country_code": "US",
            "telephone_number": "770-886-6204",
            "fax_number": "678-261-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHAI",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Park
• April Kaeun Park, OTD
• Arthur Chul Park, O.D.
• Benjamin Park, MD
• Catherine Park, M.D.
• Chong Yop Park, RPH
• David D. Park, M.D.
• Eunhye Park
• Hailey Kyung Yeon Park, DDS
• Jae Yeon Park, DMD

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.