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

1229 Clairton Blvd
Suite a & B
Jefferson Hills, PA 15025-3661

Phone

(412) 384-1898

Fax

(412) 384-2157

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia L. Goldberg

Title

Chief Compliance Officer

Phone

(610) 644-7824

Specialties & licenses 1

Addresses

Other names 1

• Keystone Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1326089723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1245",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157015245",
            "telephone_number": "724-465-3496",
            "fax_number": "215-413-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 CLAIRTON BLVD",
            "address_2": "SUITE A & B",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253661",
            "telephone_number": "412-384-1898",
            "fax_number": "412-384-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE REHABILITATION SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "610-644-7824",
        "authorized_official_name_prefix": "Mrs."
    },
    "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"
        }
    ]
}

• Mallory Ann Kelly, CRNA
• Olivia McKenzie Kelly, PA-C
• Boomer Brendan Michael Kemp, DPT
• Christine Elaine Kennedy, PA-C
• Le Mimi Kern, CRNP
• Anas Khan
• Uzma Khan, MD
• Daniel Casey Kim
• Jae Chil Kim, M.D.
• Hayley Dawn Koch, PA-C

• Rehabilitation Clinic/Center in Jefferson Hills, PA
• Providers in Jefferson Hills, 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 Aug 7, 2014; 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.