Healthcare Provider Details

I. General information

NPI: 1912950825
Provider Name (Legal Business Name): REHABILITATION AND PAIN SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/28/2020
Certification Date: 08/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 GAMMA DR SUITE 220
PITTSBURGH PA
15238-2982
US

IV. Provider business mailing address

107 GAMMA DR SUITE 220
PITTSBURGH PA
15238-2982
US

V. Phone/Fax

Practice location:
  • Phone: 412-963-6480
  • Fax: 412-963-6820
Mailing address:
  • Phone: 412-963-6480
  • Fax: 412-963-6820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. TISHA A. NARDOZZA
Title or Position: PRACTICE MANAGER
Credential:
Phone: 412-963-6480