Min Jung Park
NPI 1437538550ActiveIndividual· Occupational Therapist· Edmonds, WA
Occupational Therapist with Proliance Surgeons Inc P S, practicing in Edmonds, Washington. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1437538550 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 21, 2015 |
| Last updated in NPPES | Mar 16, 2026 |
| Certified by provider | Mar 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT70040930 | WA |
| Occupational Therapist | 225X00000X | 019426 | NY |
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 - Occupational Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Proliance Surgeons Inc P SEverett, WA · 397 clinicians
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All 28 occupational therapists in Edmonds · All occupational therapists in Washington