ELLEN PARK OTR/L
NPI 1740892645
Occupational Therapist in Los Angeles, CA
About Ellen Park Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN PARK OTR/L (NPI 1740892645) is an individual occupational therapist in Los Angeles, California, licensed in California (439575) and active in the NPI registry since August 2020. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Park Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- 40 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 Ellen Park's NPI number?
The NPI number for Ellen Park is 1740892645. It was assigned to this individual provider in the NPPES registry on August 20, 2020.
Where is Ellen Park located?
Ellen Park practices at 3148 W 11th St, Los Angeles, CA 90006. The listed phone number is (213) 200-2591.
What is Ellen Park's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Ellen Park enrolled in Medicare?
Yes. Ellen Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Park reassigns Medicare benefits to Rehabcare Group East, LLC (Waco, TX). 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 Ellen Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Park accept?
Health plans from Blue Cross and Blue Shield of Texas list Ellen 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 Ellen Park was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.