Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Park, OTR/L

Individual provider Occupational Therapist · NPI 1376178731

Jason Park, OTR/L is an Occupational Therapist in Private Practice in Englewood, New Jersey. Qualified in 2017, 9 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2020
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

535 Grand Ave
Englewood, NJ 07631-4934
Phone: (201) 541-1111
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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 46TR00782700 (NJ)

Record details

NPI number1376178731
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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