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

Minsoo Park

Individual provider Occupational Therapist · NPI 1689930950

Minsoo Park is an Occupational Therapist in Private Practice in Naperville, Illinois. Qualified in 2011, 15 years ago. Practices with At Home by Enhance Therapies LLC, a 47-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
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Practice location Address checks out

2505 Leach Dr
Naperville, IL 60564-8907
Phone: (913) 226-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1689930950
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2012
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address2505 Leach Dr, Naperville, IL 60564-8907

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice At Home By Enhance Therapies Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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