Keystone Care Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009795L Issued in PA

Legal business name

KEYSTONE CARE PHYSICAL THERAPY, INC.

Practice address

465 Susquehanna TRL
Watsontown, PA 17777

Phone

(570) 742-2453

Fax

(570) 742-2468

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Faith E Lenker

Title

Office Manager

Phone

(570) 742-2453

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1396921490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177778112",
            "telephone_number": "570-742-2453",
            "fax_number": "570-742-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SUSQUEHANNA TRL",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "17777",
            "telephone_number": "570-742-2453",
            "fax_number": "570-742-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CARE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "LENKER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-742-2453"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009795L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004398L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Henzler
• Christopher J. Herbster, P.T.
• Jonelle Elizabeth Holmes, PT
• Anthony Broch Irvine
• Carl Sees Jenkins, DDS MS FAGD
• Castan Kiersch, PT
• Emily Kline
• Ronald E Knorr, D.C.
• Kramm Nursing Home, Inc.
• Misty Dawn Little, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.