PARK PAIN & REHAB CENTER INC – NPI #1790841674
Specialist/Technologist, Other

PARK PAIN & REHAB CENTER INC is a technologist located in SCOTTDALE, PA. NPPES has assigned the NPI number 1790841674 to PARK PAIN & REHAB CENTER INC on December 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK PAIN & REHAB CENTER INC below.

NPI Profile for
PARK PAIN & REHAB CENTER INC

NPI Number
1790841674
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PARK PAIN & REHAB CENTER INC
Primary location
109 CROSSROADS ROAD
SUITE 6
SCOTTDALE, PA 15683
Phone: (724) 887-7421 Fax: (724) 887-4145
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN PARK
MEDICAL DOCTOR PRIVATE PRACTICE
Phone: (724) 887-7421
Updated
Identifiers

Identifiers for PARK PAIN & REHAB CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherHIGHMARK197526
medicaidPA0011173760007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)
PA MD034892E
208VP0014X
- Pain Medicine / Interventional Pain Medicine
PA MD034892E
208100000X
- Physical Medicine & Rehabilitation
PA MD034892E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.