Active NPI
Rehabilitation and Pain Specialists
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pittsburgh, PA
National Provider Identifier
1912950825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- REHABILITATION AND PAIN SPECIALISTS
- Practice address
- 107 Gamma Dr
Suite 220
Pittsburgh, PA 15238-2982 - Phone
- (412) 963-6480
- Fax
- (412) 963-6820
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tisha A. Nardozza
- Title
- Practice Manager
- Phone
- (412) 963-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
107 Gamma Dr
Suite 220
Pittsburgh, PA 15238-2982
Mailing address
107 Gamma Dr
Suite 220
Pittsburgh, PA 15238-2982
Phone (412) 963-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101166032 0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
451 Valley Brook Rd
Ste 201
Mc Murray, PA 15317
Phone (412) 963-6480
200 James Pl
Ste 304
Monroeville, PA 15146
Phone (412) 963-6480
580 S Aiken Ave
Ste 100
Pittsburgh, PA 15232
Phone (412) 623-1061
301 Ohio River Blvd
Ste 203
Sewickley, PA 15143
Phone (412) 221-7640
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pittsburgh, PA
- NPI 1528066180
-
- Specialist
- Pittsburgh, PA
- NPI 1932107588
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Pittsburgh, PA
- NPI 1447419981
-
- Medical Physician Assistant
- Pittsburgh, PA
- NPI 1710170006
-
- Specialist
- Pittsburgh, PA
- NPI 1033117601
-
- Physical Medicine & Rehabilitation Physician
- Bryn Mawr, PA
- NPI 1659493914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1912950825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 GAMMA DR",
"address_2": "SUITE 220",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152382982",
"telephone_number": "412-963-6480",
"fax_number": "412-963-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GAMMA DR",
"address_2": "SUITE 220",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152382982",
"telephone_number": "412-963-6480",
"fax_number": "412-963-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHABILITATION AND PAIN SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A",
"authorized_official_last_name": "NARDOZZA",
"authorized_official_first_name": "TISHA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "412-963-6480",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101166032 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.