KELLY PARK
NPI 1073486395
Physical Medicine & Rehabilitation in Wallingford, PA

Active since September 24, 2025
115 S PROVIDENCE RD, WALLINGFORD, PA 19086(610) 565-3232 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PARK (NPI 1073486395) is an individual physical medicine & rehabilitation provider in Wallingford, Pennsylvania, licensed in Pennsylvania (PT023909) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1073486395
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameKELLY PARK
Location Address115 S PROVIDENCE RDWallingford, PA 19086-6333
Mailing Address826a Putnam BlvdWallingford, PA 19086-6704
Sole ProprietorYes
Enumeration DateSeptember 24, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1073486395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · PT023909
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
115 S PROVIDENCE RD, Wallingford, PA 19086

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Skilled Nursing Facility
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Physical Therapy Assistant
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Speech-Language Pathologist
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Physical Therapy Assistant
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Physical Therapist
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Nurse Practitioner (Gerontology)
115 S PROVIDENCE RD
WALLINGFORD, PA 19086
Occupational Therapy Assistant
115 S PROVIDENCE RD
WALLINGFORD, PA 19086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Park's NPI number?

The NPI number for Kelly Park is 1073486395. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Kelly Park located?

Kelly Park practices at 115 S Providence Rd, Wallingford, PA 19086. The listed phone number is (610) 565-3232.

What is Kelly Park's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

When was this NPI record last updated?

The NPPES record for Kelly Park was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.