Keystone Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KEYSTONE PHYSICAL THERAPY PLLC

Practice address

3783 Fettler Park Dr
Dumfries, VA 22025-1946

Phone

(571) 646-4055

Fax

(571) 646-4048

NPI assigned

Aug 8, 2022

Organization subpart

No

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

Authorized official

Name

Sheryl Vertudes

Title

Cfo

Phone

(571) 236-1303

Specialties & licenses 1

Addresses

Other names 1

• KeyStone Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian B Vertudes, DPT

  • Physical Therapist
  • Dumfries, VA
  • NPI 1386870855
  Medicare reassignment NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1568199784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15759 VIEWPOINT CIR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251223",
            "telephone_number": "571-426-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3783 FETTLER PARK DR",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220251946",
            "telephone_number": "571-646-4055",
            "fax_number": "571-646-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "VERTUDES",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "571-236-1303"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KeyStone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Kargbo, RN
• Sadia Karim, O.D
• Patricia Anne Kearney, MD
• Kelvin D Kemp, MD
• Elizabeth Alice Kerby, DPT
• Adeel Khalid, XMT, MA
• Farah Khan
• Naeem Khan, M.D
• Shazia Khan
• Eric Jihun Kim, DDS

• Physical Therapy Clinic/Center in Dumfries, VA
• Providers in Dumfries, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.