Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adrienne Park

Individual provider Occupational Therapist · NPI 1619846771

Adrienne Park is an Occupational Therapist in Private Practice in Shallotte, North Carolina. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

344 Mulberry St
Shallotte, NC 28470-4472
Phone: (910) 343-8988
Fax: (910) 343-4144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 18126 (NC)

Record details

NPI number1619846771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address4114 Shipyard Blvd, Wilmington, NC 28403-6155

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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