Kevin Alan Park, OTR/L, CHT
NPI 1215004965ActiveIndividual· Occupational Therapist· New Albany, MS
Occupational Therapist (OTR/L, CHT) with Athletico Ltd, practicing in New Albany, Mississippi. Medicare paid $3,605 for services to 21 patients in 2024.
Overview
| NPI | 1215004965 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L, CHT |
| Sole proprietor | No |
| NPI issued | Nov 29, 2006 |
| Last updated in NPPES | Mar 26, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT0359 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 220 across 12 procedure codes |
| Paid by Medicare | $3,605 |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other Occupational Therapist providers in New Albany
- 1023326444