Alcina J Park, DOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61485537 Issued in WA

Practice address

516 Kenosia Ave S
Kent, WA 98030-5909

Phone

(253) 852-2737

NPI assigned

Jan 12, 2024

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

Enrolled in WA

Enrollment records 1

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.

• Empowerme Rehabilitation Wa, PC

  • Multi-Specialty Clinic/Center
  • Issaquah, WA
  • NPI 1821748112

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1972374353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 CASHMERE DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985161356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 KENOSIA AVE S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305909",
            "telephone_number": "253-852-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ALCINA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61485537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Pardillo, MSW, LSWAIC
• Eve Paretsky, M.D.
• Divya Parihar, M.D
• Park Kent Dental and Denture LLP
• Jimin Park-Reeves, D.M.D.
• Hosan Park, D.D.S
• Paul Park
• Arkar Parker, AAC
• C Bruce Parker
• Kate Marie Parker

• Occupational Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.