NPIMap

Organization Active NPI

Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Mechanicsburg, PA
National Provider Identifier
1194275446
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KEYSTONE REHABILITATION SYSTEMS, INC.
Practice address
5202 Simpson Ferry Rd
Suite 100
Mechanicsburg, PA 17050-3566
Phone
(717) 697-3949
Fax
(717) 697-5147
NPI assigned
Oct 11, 2016
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SELECT MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Michael Tarvin
Title
Vice President & Secretary
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5202 Simpson Ferry Rd
Suite 100
Mechanicsburg, PA 17050-3566

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206001178 PA Part B Supplier - Clinic/Group Practice 7012826753 Receives reassigned benefits from 64 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bethlehem, PA; Birdsboro, PA; Butler, PA; Connellsville, PA; Dingmans Ferry, PA; Erie, PA; Franklin, PA; Homestead, PA…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Select Medical Corporation

Locations

5202 Simpson Ferry Rd
Ste 100
Mechanicsburg, PA 17050
Phone (717) 361-7414

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1194275446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 SIMPSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503566",
            "telephone_number": "717-697-3949",
            "fax_number": "717-697-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE REHABILITATION SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL CORPORATION",
        "enumeration_date": "2016-10-11",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.

Verify at the official NPI Registry.