Keri Tkatch Eastburn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029270 Issued in PA

Practice address

4033 Linglestown Rd
Harrisburg, PA 17112-1153

Phone

(717) 920-5002

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keri Tkatch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PHS Physical Therapy, LLC

  • Physical Therapist
  • Camp Hill, PA
  • NPI 1912300096
  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1245821024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 LINGLESTOWN RD STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121153",
            "telephone_number": "717-920-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 LINGLESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121153",
            "telephone_number": "717-920-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTBURN",
        "first_name": "KERI",
        "middle_name": "TKATCH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "TKATCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• East Shore Medical & Pain Management PC
• East Shore Oncology PC
• East Shore Pharmacy Inc.
• East Shore Psychiatric Associates PC
• East Shore Therapeutic Massage Center LLC
• Easyudo Services LLC
• Easyudo Services LLC
• Easyudo Services LLC
• Easyudo Services LLC
• Jeanette Marie Ebarb, MD

• Physical Therapist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.