HANNAH J PARK DPT
NPI 1114397627
Physical Therapist in La Crescenta, CA

Active since September 28, 2015Accepts Medicare Assignment
3151 FAIRMOUNT AVE, LA CRESCENTA, CA 91214(323) 303-6811 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Nov 15, 2016, Sep 28, 2015 (3 updates tracked since 2015).

About Hannah J Park Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH J PARK DPT (NPI 1114397627) is an individual physical therapist in La Crescenta, California, licensed in California (293806) and active in the NPI registry since September 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1114397627
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameHANNAH J PARKCredential: DPT
Location Address3151 FAIRMOUNT AVELa Crescenta, CA 91214-2625
Mailing Address3151 Fairmount AveLa Crescenta, CA 91214-2625 · (323) 303-6811
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 28, 2015
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1114397627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 293806
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3151 FAIRMOUNT AVE, La Crescenta, CA 91214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hannah J Park Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002195559
PECOS Enrollment IDI20180620000476

Medicare Billing Reassignments

3

Medicare enrollment records show Hannah Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
2520 HONOLULU AVE STE 150
Montrose, CA 91020
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
Physical Therapist
11500 W OLYMPIC BLVD, SUITE 350
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hannah Park's NPI number?

The NPI number for Hannah Park is 1114397627. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Hannah Park located?

Hannah Park practices at 3151 Fairmount Ave, La Crescenta, CA 91214. The listed phone number is (323) 303-6811.

What is Hannah Park's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Hannah Park enrolled in Medicare?

Yes. Hannah Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hannah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Park reassigns Medicare benefits to 3 organizations: Flintridge Physical Therapy (Montrose, CA), Momentum Physical Therapy (Los Angeles, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hannah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Hannah Park was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.