Chanelle Jung Park, OTR/L - Occupational Therapist in Herndon, VA

Chanelle Jung Park, OTR/L is a Occupational Therapist based in Herndon, Virginia. Chanelle Jung Park is licensed to practice in Virginia (license number 0119006969) and her current practice location is 2978 Centreville Rd, Herndon, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 934-5000.

NPI number for Chanelle Jung Park is 1396293825 and her current mailing address is 2978 Centreville Rd, Herndon, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396293825.

Contact Information

Chanelle Jung Park, OTR/L
2978 Centreville Rd,
Herndon, VA 20171-6253
(703) 934-5000
Not Available



Healthcare Provider's Profile

Full NameChanelle Jung Park
GenderFemale
SpecialityOccupational Therapist
Location2978 Centreville Rd, Herndon, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396293825
  • Provider Enumeration Date: 09/13/2016
  • Last Update Date: 09/13/2016

Medical Identifiers

Medical identifiers for Chanelle Jung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396293825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 0119006969 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanelle Jung Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chanelle Jung Park, OTR/L
2978 Centreville Rd,
Herndon, VA 20171-6253

Ph: () -
Chanelle Jung Park, OTR/L
2978 Centreville Rd,
Herndon, VA 20171-6253

Ph: (703) 934-5000

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› Verified 1 days ago


Occupational Therapist in Herndon, VA

Sydney Chervenic,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 102 Elden St Ste 12, Herndon, VA 20170
Phone: 703-581-8999    
Mona Elsayed,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171
Phone: 703-810-5407    
Kira Sellar, COTA/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2978 Centreville Rd, Herndon, VA 20171
Phone: 703-934-5000    
Mrs. Diane Hocker Sullivan, MS OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1554 Kingstream Cir, Herndon, VA 20170
Phone: 703-437-5563    
Jennifer Hale, OTR/L, CHT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 13350 Franklin Farm Rd Ste 300, Herndon, VA 20171
Phone: 703-810-5205    Fax: 703-810-5407
Bradley Jay Deck,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2978 Centreville Rd, Herndon, VA 20171
Phone: 703-934-5000    
Madeline Florence Bryant,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Dranesville Rd, Herndon, VA 20170
Phone: 703-952-7292    

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