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1871551028

NPI Code Detail

MEDICARE: CORE NETWORK, LLC

MEDICARE: CORE NETWORK, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant
2	235Z00000X	Speech-Language Pathologist
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	103TC0700X	Clinical Psychologist
6	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	703642	OTHER	PA	HIGHMARK (PT)
2	1514485	OTHER	PA	GATEWAY HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	261314	OTHER	PA	HIGHMARK (ST)
5	263048	OTHER	PA	HIGHMARK (OT)

General Provider Information

NPI Number	:	1871551028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE NETWORK, LLC

Provider Business Mailing Address
First Line	:	3600 FORBES AVE STE 10072
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3410
Country	:	US
Telephone Number	:	412-864-5693
Fax Number	:	412-673-3319

Provider Business Practice Location Address
First Line	:	1622 LOCUST ST FL 4
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-5924
Country	:	US
Telephone Number	:	412-642-5460
Fax Number	:	724-786-7689

Authorized Official
Title or Position	:	VICE PRESIDENT, OPERATIONS
Name	:	ANTHONY BIANCO
Credential	:
Telephone Number	:	412-647-4161

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	03/25/2025

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Directions to “CORE NETWORK, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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