Min Park, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

08253 Issued in MD

Practice address

9975 Medical Center Dr
Rockville, MD 20850-3316

Phone

(301) 738-9691

NPI assigned

Aug 24, 2017

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 and National Provider Directory roles.

• The Treatment and Learning Center

  • Local Education Agency (LEA)
  • Rockville, MD
  • NPI 1205185733
  NPD (past)
• The Treatment and Learning Centers

  • Local Education Agency (LEA)
  • Rockville, MD
  • NPI 1750639498
  NPD (past)
• The Treatment and Learning Centers, Inc.

  • Audiologist
  • Rockville, MD
  • NPI 1952346371
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821515560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 COLUMBIA RD APT 301",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210445619",
            "telephone_number": "301-801-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503316",
            "telephone_number": "301-738-9691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2092 Gaither Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208504016",
            "country_code": "US",
            "telephone_number": "301-424-5200",
            "fax_number": "301-424-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "MIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Park, M.A., PH.D.
• Hee K Park, LCSW-C
• Jennifer Alane Park, LCSW-C, LICSW
• John Ho Park, D.C.
• Ju-Un Julian Park, MD
• Paul Monsoo Park, M.D.
• Ryan Park, DMD
• Seungsun Ellen Park, AUD
• Soh Park
• Stephanie Grace Park, PH.D.

• Occupational Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.