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Contact Information

PARK PAIN & REHAB CENTER INC
109 CROSSROADS ROAD
SUITE 6
SCOTTDALE, PA15683
 Phone: 724-887-7421
 Fax: 724-887-4145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PARK PAIN & REHAB CENTER INC

NPI # 1790841674
LBN Legal business name PARK PAIN & REHAB CENTER INC
Authorized official JOHN PARK - (MEDICAL DOCTOR PRIVATE PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
PA License # MD034892E
PA Medicaid 0011173760007
Other 197526 HIGHMARK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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