ELLENNE J PARK PT, DPT, CSRS
NPI 1730757071
Physical Therapist in San Francisco, CA
About Ellenne J Park Pt, Dpt, Csrs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLENNE J PARK PT, DPT, CSRS (NPI 1730757071) is an individual physical therapist in San Francisco, California and active in the NPI registry since June 2021.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellenne J Park Pt, Dpt, Csrs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellenne Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Santa Monica, CA 90403
- Reassigned Medicare billing, California enrollment
- 13 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Ellenne Park's NPI number?
The NPI number for Ellenne Park is 1730757071. It was assigned to this individual provider in the NPPES registry on June 14, 2021.
Where is Ellenne Park located?
Ellenne Park practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 476-1000.
What is Ellenne Park's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ellenne Park enrolled in Medicare?
Yes. Ellenne Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellenne Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellenne Park reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (San Francisco, CA) and The Balance Lab Physical Therapy And Fitness PC (Santa Monica, CA). 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 Ellenne 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 Ellenne Park was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.