Active NPI
Keystone Physical Therapy LLC
- Physical Therapy Clinic/Center
- Bedford, PA
National Provider Identifier
1124887146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KEYSTONE PHYSICAL THERAPY LLC
- Practice address
- 125 W Pitt St Ste 3
Bedford, PA 15522-1392 - Phone
- (814) 770-6179
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Robyn Isgan, DPT
- Title
- Physical Therapist
- Phone
- (814) 770-6179
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Everett, PA
- NPI 1295698165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240625000044 | PA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3072056571 |
Receives reassigned benefits from 2 practitioners Practice locations: Bedford, PA |
National Provider Directory
National Provider DirectoryLocations
125 W Pitt St
Ste 3
Bedford, PA 15522
Phone (814) 285-0969
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
125 W Pitt St Ste 3
Bedford, PA 15522-1392
Mailing address
125 W Pitt St Ste 3
Bedford, PA 15522-1392
Phone (814) 770-6179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2024.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1124887146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W PITT ST STE 3",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155221392",
"telephone_number": "814-770-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W PITT ST STE 3",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155221392",
"telephone_number": "814-770-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "ISGAN",
"authorized_official_first_name": "ROBYN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "814-770-6179",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.