Garrett Imes

Individual provider Active NPI Physical Therapy Assistant · Everett, PA

NPI 1295698165 · NPPES record last updated Dec 6, 2025

Key facts

NPI
1295698165
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI004971 (PA)
Practice address
208 Pennknoll Rd
Everett, PA 15537-6940
Phone
(814) 623-3200
NPI assigned
Dec 6, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TEI004971PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Physical Therapy LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI004971 PA Yes

Addresses

Primary practice location

208 Pennknoll Rd
Everett, PA 15537-6940

Mailing address

155 Summit St
Everett, PA 15537-6169

Other providers in Everett, PA

All providers in Everett, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.