Nina Park, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00965600 Issued in NJ

Practice address

140 N Rte 17 Ste 272
Paramus, NJ 07652-2800

Phone

(201) 261-4343

NPI assigned

Mar 2, 2017

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

Other names 1

• Nina Nunez Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 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.

• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233
  Medicare reassignment Care Compare group NPD
• Balanced Body Rehabilitation LLC

  • Physical Therapist
  • Tenafly, NJ
  • NPI 1740690627
  Medicare reassignment NPD

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1962942417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N RTE 17 STE 272",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522800",
            "telephone_number": "201-261-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28-12 Broadway",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074103924",
            "country_code": "US",
            "telephone_number": "201-475-8482",
            "fax_number": "210-475-8139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8867 18th Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112146001",
            "country_code": "US",
            "telephone_number": "347-267-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "NINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020032-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00965600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "NUNEZ",
            "credential": "MSOT- CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Park View Chiropractic Center
• Gi Hyue Park
• Gloria J Park, PHARMD
• Junghee Park, CNA
• Kaylee Park
• Wendy Park, LCSW
• Parker Center for Plastic Surgery
• Paul M Parker, MD
• Daniel Parra
• Partners Pharmacy LLC

• Occupational Therapist in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.