Olivia Chung-Eun Park, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

09293 Issued in MD

Practice address

5530 Wisconsin Ave Ste 1650
Chevy Chase, MD 20815-4323

Phone

(301) 986-9100

Fax

(301) 657-8229

NPI assigned

May 19, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.93 of 100Reported as group

Quality

86.7

Promoting interoperability

100

Improvement activities

40

Cost

73.06

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.

• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Manassas, VA
  • NPI 1265871958

  DC, Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Prince Frederick, MD
  • NPI 1710455894
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Orthopaedic Associates of Central Maryland, PA

  • Orthopaedic Surgery Physician
  • Columbia, MD
  • NPI 1023269396
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1699349068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154323",
            "telephone_number": "301-986-9100",
            "fax_number": "301-657-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 1650",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154323",
            "telephone_number": "301-986-9100",
            "fax_number": "301-657-8229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Washington Cir NW Ste 404",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372362",
            "country_code": "US",
            "telephone_number": "301-986-9100",
            "fax_number": "202-750-6976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "OLIVIA",
        "middle_name": "CHUNG-EUN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09293",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT200001195",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "09293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.summit-orthopedics.com/",
            "affiliation": "N",
            "address_1": "5530 Wisconsin Ave Ste 1650",
            "city": "Chevy Chase",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208154323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Margaret Paese, PA-C
• Veronica Marie Rivera Palm, PT
• Panda Care LLC
• Pantea Tamjidi MD PC
• Scott Pape, MPT
• Sean Park, PHARM D
• Victoria Park, DDS
• Sarah Grace Parolski, CRNA
• Passport Health Holdings, LLC
• Patel Trauma and Oral Surgery LLC

• Hand Occupational Therapist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Hand Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.