Ha Rin Park
NPI 1295552248ActiveIndividual· Physical Therapy Assistant· Paterson, NJ
Physical Therapy Assistant in Paterson, New Jersey, licensed in NJ, with an NPI issued in September 2024. Enrolled in Medicare as practitioner - other (non-physician).
Overview
| NPI | 1295552248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 23, 2024 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 40QB00361200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Other (Non-Physician) (NJ) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Undefined Non-Physician Type (Specify) |
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