Jey Park, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

467298 Issued in TX

Practice address

1761 International Pkwy Ste 135
Richardson, TX 75081-1864

Phone

(972) 845-7875

NPI assigned

Feb 23, 2022

Sex

Female

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One RehabGroup PAC ID 7618208752, 23 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.

• One Rehab

  • Rehabilitation Clinic/Center
  • Richardson, TX
  • NPI 1952954240
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1770239386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GILLESPIE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106314",
            "telephone_number": "469-955-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 INTERNATIONAL PKWY STE 135",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811864",
            "telephone_number": "972-845-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JEY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "467298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biren Parikh, MD
• Christel Parish, D.C.
• Carol A. Park, LPC, RD, LD, CEDRED
• Issa Park, LMHC
• Jaehong Park
• Juan Park, D.C.
• Jun Hee Park, DDS
• Yoonho Park, MD
• Donavon D Parker
• Melissa Parker, CNIM

• Occupational Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.