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

Tara Mai Park, DPT

Individual provider Physical Therapist · NPI 1134894694

Tara Mai Park, DPT is a Physical Therapist in Private Practice in Sacramento, California. Qualified in 2012, 14 years ago. Practices with Orthopaedic and Neurological Rehab Inc, a 417-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone: (916) 688-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT41250
Physical Therapist Taxonomy 225100000X · Licence PT41250 (CA)

Record details

NPI number1134894694
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Orthopaedic And Neurological Rehab Inc — 417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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