MINSOO PARK
NPI 1689930950
Occupational Therapist in Naperville, IL

Active since April 11, 2012Accepts Medicare Assignment
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: August 02, 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. He is a graduate of Other (2011).

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
Medical School CMSOtherGraduated 2011
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Minsoo Park 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 ID1951826833
PECOS Enrollment IDI20250423002389

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 12 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.