Healthcare Provider Details

I. General information

NPI: 1962520056
Provider Name (Legal Business Name): PENN REHAB NETWORK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STOOPS DRIVE SUITE 380
MONONGAHELA PA
15063
US

IV. Provider business mailing address

100 STOOPS DRIVE SUITE 380
MONONGAHELA PA
15063
US

V. Phone/Fax

Practice location:
  • Phone: 724-483-4268
  • Fax:
Mailing address:
  • Phone: 724-483-4268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOC004380L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT002017L
License Number StatePA

VIII. Authorized Official

Name: DENVER BYRON
Title or Position: OT, CO-OWNER
Credential: OT
Phone: 724-483-4263