Janine Marie Park

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

592841 Issued in WI

Practice address

5910 N Milwaukee River Pkwy
Glendale, WI 53209-3816

Phone

(414) 351-7190

NPI assigned

May 19, 2026

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.

• Glendale-River Hills School District

  • Local Education Agency (LEA)
  • Glendale, WI
  • NPI 1497970271
  NPD (past)
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086
  NPD (past)

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1831029305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W164N9795 WATER ST",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225032",
            "telephone_number": "262-227-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 N MILWAUKEE RIVER PKWY",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093816",
            "telephone_number": "414-351-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "592841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• OT Bestie LLC
• Nicole Christine Otto
• Carlie Owens, DPT
• Nicole Annmarie Owens, APNP
• Losheni Paramasivam
• Amy Parry, PT
• Farrukh Siere Pasha, MD
• Aastha Arunkumar Patel, MD
• Aditi Patel, PHARMD
• Dipti Y Patel, PHARMD

• Speech-Language Pathologist in Glendale, WI
• Providers in Glendale, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.