ELLEN PARK OTR/L
NPI 1740892645
Occupational Therapist in Los Angeles, CA

Active since August 20, 2020
3148 W 11TH ST, LOS ANGELES, CA 90006(213) 200-2591 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1740892645
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameELLEN PARKCredential: OTR/L
Location Address3148 W 11TH STLos Angeles, CA 90006-2322
Mailing Address3148 W 11th StLos Angeles, CA 90006-2322 · (213) 200-2591
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1740892645 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
License✔ Licensed in CA · 439575
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.
3148 W 11TH ST, Los Angeles, CA 90006

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).

PECOS PAC ID5991264053
PECOS Enrollment IDI20260828001441

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.

Physical Medicine & Rehabilitation
5317 SPEEGLEVILLE RD
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.