Mark Kerestan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006525L Issued in PA

Practice address

812 Broad Ave
Belle Vernon, PA 15012-1664

Phone

(724) 929-5774

Fax

(724) 929-9524

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Sports Physical Therapy Associates, Inc.Group PAC ID 5890609887, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ospta Home, LLC

  • Home Health Agency
  • Rostraver Township, PA
  • NPI 1164485777

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• Orthopedic & Sports Physical Therapy Associates, Inc.

  • Physical Therapist
  • Charleroi, PA
  • NPI 1689636581
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Associates Inc

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003415829
  NPD
• Orthopedic and Sports Physical Therapy Associates Inc OT

  • Occupational Therapist
  • California, PA
  • NPI 1952423774
  NPD
• Valley Outpatient Rehabilitation

  • Specialist
  • Monongahela, PA
  • NPI 1285696179
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1669400289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121664",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121664",
            "telephone_number": "724-929-5774",
            "fax_number": "724-929-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERESTAN",
        "first_name": "MARK",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006525L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "251570641",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Phillip Horrell, ATC, EMR
• John F. Hudock, AUDIOLOGIST
• Ashok K Jain, M.D.
• Alexander Kandabarow, MD
• Matthew Jacob Keller, PA-C
• Keystone Rehabilitation Systems Inc
• Robert John Klanchar Jr., DC
• Amanda Klink, PT
• Daniel C. Kochis, R.PH.
• Michele Patrice Kolowitz, CRNA

• Physical Therapist in Belle Vernon, PA
• Providers in Belle Vernon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.