Olivia Park, MD
Olivia Park, MD is a Physical Medicine & Rehabilitation Physician in Kenosha, WI, registered under NPI 1669761748. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 6308 8TH AVE, Kenosha, WI 53143. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 72450-20 | WI | Physical Medicine & Rehabilitation… primary |
| 01076676A | IN | Physical Medicine & Rehabilitation… |
| 72450-20 | WI | Spinal Cord Injury Medicine Physician |
Licences are recorded in 2 states: WI, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Medicine And Rehabilitation
- PAC ID
- 7810287786
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Indiana | I20160606000564 | Practitioner - Physical Medicine And Rehabilitation |
| Wisconsin | I20200110000146 | Practitioner - Physical Medicine And Rehabilitation |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. There are 2 separate enrolment records across 2 states (IN, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Indiana and Wisconsin. The practice address on file is in Kenosha, WI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 72450-20
- Specialty
- Physical Medicine & Rehabilitation…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Physical Medicine & Rehabilitation covers
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. NUCC Health Care Provider Taxonomy, code 208100000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation Physician | 72450-20 | WI | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | 01076676A | IN | |
| 2081P0004X | Spinal Cord Injury Medicine Physician Spinal Cord Injury Medicine | 72450-20 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1669761748 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 29, 2011 |
| Last updated | Dec 3, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
6308 8TH AVE Kenosha, WI 53143 (262) 771-0073 |
| Mailing address |
1776 WOODSTEAD CT STE 208 The Woodlands, TX 77380 |
| Other identifiers |
100096196
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 6 | 9 | 7 | 6 | 1 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 3 | 9 | 5 | 6 | 2 | 7 | 8 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.