Mr. Kevin Alan Park, OTR/L, CHT
Mr. Kevin Alan Park, OTR/L, CHT is registered under Occupational Therapist in Private Practice in New Albany, Mississippi. Qualified in 1994, 32 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 32
- Licensed in
- MS
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
206B Oxford RdNew Albany, MS 38652-3115 Not confirmed with CMS for 17 years — call before visiting
Phone: (662) 534-4445
Fax: (662) 534-9449
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT0359 (MS) |
|---|
Record details
| NPI number | 1215004965 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTR/L , CHT |
| Sole proprietor | No |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | March 26, 2009 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 220 |
| Average patient age | 74 |
Colleagues at Athletico Ltd
- Rebecca M Baran, DPT Physical Therapy Assistant · Berwyn, IL
- Jessica R Fiala, DPT Physical Therapist · Schaumburg, IL
- Chas S Frey, DPT Physical Therapist · Hudson, MI
- Michele Gertsen, PT Physical Therapist · Naperville, IL
- Ali N Graham, DPT Athletic Trainer · Chicago, IL
- Natalie Hayes, DPT Physical Therapist · Omaha, NE
- Ferris O'Bannon McGuire, OTR/L Physical Rehabilitation Occupational Therapist · Batesville, MS
- Nan Katherine Ann McMahan, PT, DPT Physical Therapist · Shawnee, OK
- Nathan Mikulcik, PT Physical Therapist · Naperville, IL
- Mrs. Victoria Kay Theiss, MSOTRL Occupational Therapist · Arnold, MO
- Carter Trager, PT, DPT Physical Therapist · Des Moines, IA
- Abby M Tryon, DPT Physical Therapist · Burr Ridge, IL
Other providers in New Albany
-
Mrs. Ginger Harrell Adair, OTR/L
127B W Bankhead St, New Albany, MS 38652-3314 · (662) 587-1595