Keystone Rehabilitation Systems Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

KEYSTONE REHABILITATION SYSTEMS INC

Doing business as

Keystone Physical Therapy

Practice address

Groundhog Plaza
205 Hampton Avenue
Punxsutawney, PA 15767-2133

Phone

(814) 938-0148

Fax

(814) 938-8240

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Tarvin

Title

Vice President & Secretary

Phone

(717) 972-1100

Specialties & licenses 1

Addresses

Other names 1

• Keystone Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1275575607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "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": "GROUNDHOG PLAZA",
            "address_2": "205 HAMPTON AVENUE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672133",
            "telephone_number": "814-938-0148",
            "fax_number": "814-938-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE REHABILITATION SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph J. Kernich, M.D.
• Nickolas Alan Kernich, PHARMD
• Kayla Rosemary Kerr, PA-C
• Janet Marie Keslar, CRNP
• Jennifer Keslar, CRNP
• Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
• Eyad Khabbaz, M.D.
• Khalaf & Khalaf Imaging LLP
• Mohammed Omar Kamal Khalaf Al-Tawil, M.D.
• Kamal Khalaf, MD

• Rehabilitation Clinic/Center in Punxsutawney, PA
• Providers in Punxsutawney, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• 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.