Keystone Prosthetics and Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KEYSTONE PROSTHETICS AND ORTHOTICS

Practice address

231 Northern Blvd
Ste D
Clarks Summit, PA 18411-9189

Phone

(570) 587-4110

Fax

(570) 587-4145

NPI assigned

Jun 22, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David George Patrick, PT., CPO

Title

President/Owner

Phone

(570) 587-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harry W Schmaltz, M.D.

  • Orthopaedic Surgery Physician
  • Dickson City, PA
  • NPI 1457388027
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003812371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NORTHERN BLVD",
            "address_2": "STE D",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119189",
            "telephone_number": "570-587-4110",
            "fax_number": "570-587-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NORTHERN BLVD",
            "address_2": "STE D",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119189",
            "telephone_number": "570-587-4110",
            "fax_number": "570-587-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "570-587-4110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT., CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001610040000B",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Community Resources Inc.
• Keystone Community Resources, Inc.
• Keystone Community Resources, Inc.
• Keystone Independent Living Inc.
• Keystone Independent Living Inc.
• KGS Counseling
• Nabil Khalife
• Kathleen Virginia Kingsley
• Kate R Kochanski, D.P.T.
• Karen Kopcza

• Prosthetic/Orthotic Supplier in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.