MARY JARET PARK PT, DPT
NPI 1679979728
Physical Therapist in Columbus, GA
About Mary Jaret Park Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY JARET PARK PT, DPT (NPI 1679979728) is an individual physical therapist in Columbus, Georgia, licensed in Georgia (PT011766) and active in the NPI registry since November 2014. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
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
Mary Jaret Park Pt, 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Jaret Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lake Charles, LA 70601
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 192 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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBUS, GA 31909
COLUMBUS, GA 31909
COLUMBUS, GA 31909
COLUMBUS, GA 31909
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 Mary Jaret Park's NPI number?
The NPI number for Mary Jaret Park is 1679979728. It was assigned to this individual provider in the NPPES registry on November 17, 2014.
Where is Mary Jaret Park located?
Mary Jaret Park practices at 5131 Warm Springs Rd, Columbus, GA 31909. The listed phone number is (931) 809-0354.
What is Mary Jaret Park's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mary Jaret Park enrolled in Medicare?
Yes. Mary Jaret 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 Mary Jaret Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Jaret Park reassigns Medicare benefits to 2 organizations: Synergy Care Southeast, LLC (Lake Charles, LA) and Legacy Healthcare Services Inc. (Cedar Park, TX). 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 Mary Jaret Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Jaret Park accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Mary Jaret Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Jaret Park was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mary Jaret Park, PT, DPT · NPI 1679979728
Physical Therapist provider in Columbus, Georgia. Individual provider, active in the CMS NPPES registry since November 17, 2014.
## Identity
- **NPI:** 1679979728 (Entity type: Individual)
- **Enumerated:** November 17, 2014
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** PT011766 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5131 WARM SPRINGS RD, Columbus, GA 31909-4196
- **Phone:** (931) 809-0354
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA); Legacy Healthcare Services Inc. (NPI 1871132357, Cedar Park, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 17, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1679979728) · Data from the CMS NPPES public registry.