Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Olivia Park, MD

Physical Medicine & Rehabilitation Physician in Kenosha, WI · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669761748

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Registry record

Entity type Individual (Type 1)

Name Olivia Park

Credential MD

Sex Female

Practice address 6308 8th Ave, Kenosha, WI, 53143

Phone (262) 771-0073

Enumeration date Mar 29, 2011

Last updated in NPPES Dec 3, 2025

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 01076676A (IN) Secondary

2081P0004X Spinal Cord Injury Medicine Physician Allopathic & Osteopathic Physicians · License 72450-20 (WI) Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 72450-20 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
100096196	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Olivia Park's NPI record?

Cross-check NPI 1669761748 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1669761748 active?

Yes, as of the latest NPPES snapshot, NPI 1669761748 is active (record last updated 2025-12-03).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-03.