Keystone Rehabilitation Systems Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

KEYSTONE REHABILITATION SYSTEMS INC

Practice address

2167 W 12TH St
Unit B-7
Erie, PA 16505-4804

Phone

(814) 454-4243

Fax

(814) 454-3913

NPI assigned

Jun 10, 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

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1477594307",
    "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": "2167 W 12TH ST",
            "address_2": "UNIT B-7",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054804",
            "telephone_number": "814-454-4243",
            "fax_number": "814-454-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE REHABILITATION SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-11-16",
        "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"
        }
    ]
}

• Nathan Stuart Kerr, APRN
• Sakthi Tiruchirapalli Kesavan, DDS
• Kessler Counseling Services, LLC
• Brady James Kesterholt, PA-C
• Eric Tyler Ketchel
• Keystone Rehabilitation Systems Inc
• Keystone Rehabilitation Systems, Inc.
• Keystone Rehabilitation Systems, Inc.
• Keystone Rehabilitation Systems, Inc.
• Abdullah Khaja

• All providers in Erie, PA
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.