MINSOO PARK
NPI 1689930950
Occupational Therapist in Naperville, IL

Active since April 11, 2012
2505 LEACH DR, NAPERVILLE, IL 60564(913) 226-2915 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1689930950
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMINSOO PARK
Location Address2505 LEACH DRNaperville, IL 60564-8907
Mailing Address2505 Leach DrNaperville, IL 60564-8907
Sole ProprietorYes
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1689930950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2505 LEACH DR, Naperville, IL 60564

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.

Physical Therapist
400 NJ-70, UNIT 1
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.