Sun Park, MOTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

0119006380 Issued in VA

Practice address

5100 Fillmore Ave
Alexandria, VA 22311-5069

Phone

(703) 845-5100

NPI assigned

Nov 20, 2019

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1689210049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8287 SWOPE CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531938",
            "telephone_number": "703-434-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 FILLMORE AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115069",
            "telephone_number": "703-845-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUN",
        "name_prefix": "Miss",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "VA",
            "license": "0119006380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Hoon Park, D.D.S
• Rachel Hee Young Park, MD
• Rebecca Park
• Si-Eun Park, DMD
• Sue Y Park, MD
• Parker-Gray Pediatric Dental Care, PC
• Kathleen P Parker-Lundgren, MD
• Charlene Lashelle Parker, AS,AA,BA,BS
• Heather Lauren Parker, LPC
• Jada Parker

• Gerontology Occupational Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Gerontology Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.