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

Individual provider Occupational Therapist · NPI 1962942417

Nina Park, OTR/L is an Occupational Therapist in Private Practice in Paramus, New Jersey. Qualified in 2015, 11 years ago. Practices with United Sports Care and Physical Therapy, a 43-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
11
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
3
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

140 N Rte 17 Ste 272
Paramus, NJ 07652-2800
Phone: (201) 261-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 28-12 Broadway, Fair Lawn, NJ 07410-3924 — (201) 475-8482
  • 8867 18th Ave Fl 1, Brooklyn, NY 11214-6001 — (347) 267-4777

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00965600 (NJ)
Occupational Therapist Taxonomy 225X00000X
Occupational Therapist Taxonomy 225X00000X · Licence 020032-1 (NY)

Record details

NPI number1962942417
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 2, 2017
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice United Sports Care And Physical Therapy — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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