MINSOO PARK
NPI 1689930950
Occupational Therapist in Naperville, IL
About Minsoo Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINSOO PARK (NPI 1689930950) is an individual occupational therapist in Naperville, Illinois and active in the NPI registry since April 2012.
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 (PECOS)
Minsoo Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Minsoo Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, NJ 08701
- Reassigned Medicare billing, Illinois enrollment
- 49 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.
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 Minsoo Park's NPI number?
The NPI number for Minsoo Park is 1689930950. It was assigned to this individual provider in the NPPES registry on April 11, 2012.
Where is Minsoo Park located?
Minsoo Park practices at 2505 Leach Dr, Naperville, IL 60564. The listed phone number is (913) 226-2915.
What is Minsoo Park's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Minsoo Park enrolled in Medicare?
Yes. Minsoo Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Minsoo Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minsoo Park reassigns Medicare benefits to At Home By Enhance Therapies LLC (Lakewood, NJ). The 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 Minsoo 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 Minsoo Park was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.