Kathryn Ann Park, OTR/L is a
Occupational Therapist based in Greenport, New York. Kathryn Ann Park is licensed to practice in New York (license number 020619) and her current practice location is
1500 Brecknock Rd, Greenport, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 477-3800.
NPI number for Kathryn Ann Park is 1245755537 and her current mailing address is 870 Chestnut Rd, Southold, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245755537.
Healthcare Provider's Profile
Full Name | Kathryn Ann Park |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1500 Brecknock Rd, Greenport, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245755537
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 08/08/2017
Medical Identifiers
Medical identifiers for Kathryn Ann Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245755537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 020619 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Ann Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathryn Ann Park, OTR/L 870 Chestnut Rd, Southold, NY 11971-2468 Ph: (631) 882-2113 | Kathryn Ann Park, OTR/L 1500 Brecknock Rd, Greenport, NY 11944-3117 Ph: (631) 477-3800 |
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