Tara Lynn Keister, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020206 Issued in PA

Practice address

987 Brookville St
Fairmount City, PA 16224-0046

Phone

(814) 275-1000

Fax

(814) 275-1003

NPI assigned

Apr 6, 2010

Sex

Female

Sole proprietor

Yes

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.

• Moore Physical Therapy Inc.

  • Specialist
  • Fairmount City, PA
  • NPI 1710921408

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2010.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1346565017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "address_2": "987 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162240046",
            "telephone_number": "814-275-1000",
            "fax_number": "814-275-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162240046",
            "telephone_number": "814-275-1000",
            "fax_number": "814-275-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISTER",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Gould
• Georgi Anne Grafton, PA-C
• Health Services of Clarion Inc
• Health Services of Clarion, Inc.
• Hometown Oxygen Pittsburgh LLC
• Jamie Mangini
• Crystal Meier, CRNP
• Marcy L Monrean, PA-C
• Moore Physical Therapy Inc.
• Justin L Moore, DPT

• All providers in Fairmount City, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.