Kelly Park
NPI 1073486395 · Physical Medicine & Rehabilitation Physician · Wallingford, PA
Kelly Park is a Physical Medicine & Rehabilitation Physician provider in Wallingford, PA (NPI 1073486395).
Provider details
- NPI number
- 1073486395
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT023909 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-24
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Kelly Park's NPI number?
- Kelly Park's National Provider Identifier (NPI) is 1073486395, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Park's specialty?
- Kelly Park is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Park located?
- Kelly Park's practice location on file with NPPES is 115 S Providence Rd, Wallingford, PA 19086-6333.
- What is Kelly Park's phone number?
- The practice phone number listed in the NPPES registry for Kelly Park is (610) 565-3232.
- Is Kelly Park's NPI active?
- Yes — Kelly Park's NPI (1073486395) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.