SAM OK PARK OTR/L
NPI 1336857937
Occupational Therapist in Atlanta, GA
About Sam Ok Park Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM OK PARK OTR/L (NPI 1336857937) is an individual occupational therapist in Atlanta, Georgia, licensed in Georgia (OT008686) and active in the NPI registry since November 2022. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Sam Ok Park Otr/l 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sam Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 119 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 487 clinicians in this Medicare group
Braselton, GA 30517
- Reassigned Medicare billing, Georgia enrollment
- 92 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30318
ATLANTA, GA 30318
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 Sam Park's NPI number?
The NPI number for Sam Park is 1336857937. It was assigned to this individual provider in the NPPES registry on November 11, 2022.
Where is Sam Park located?
Sam Park practices at 1000 Northside Dr NW Ste 1500, Atlanta, GA 30318. The listed phone number is (470) 347-9119.
What is Sam Park's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Sam Park enrolled in Medicare?
Yes. Sam 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 Sam Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Park reassigns Medicare benefits to 3 organizations: Peachtree Orthopaedic Clinic PA (Atlanta, GA), Northside Surgical Professional Services LLC (Atlanta, GA) and Peachtree Orthopaedic Clinic Of Georgia, LLC (Braselton, GA). 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 Sam 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 Sam Park was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.