Organization Active NPI

Keystone Prosthetics and Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Dickson City, PA
National Provider Identifier
1750477444
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KEYSTONE PROSTHETICS AND ORTHOTICS, INC.
Practice address
334 Main Street
Suite 2
Dickson City, PA 18519
Phone
(570) 307-4191
Fax
(570) 307-4195
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. David G Patrick, P.T.,C.P.O.
Title
President
Phone
(570) 307-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

334 Main Street
Suite 2
Dickson City, PA 18519

Mailing address

334 Main Street
Suite 2
Dickson City, PA 18519
Phone (570) 307-4191

Other identifiers 1

IdentifierTypeStateIssuer
0016100400004MedicaidPA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1750477444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN STREET",
            "address_2": "SUITE 2",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18519",
            "telephone_number": "570-307-4191",
            "fax_number": "570-307-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN STREET",
            "address_2": "SUITE 2",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18519",
            "telephone_number": "570-307-4191",
            "fax_number": "570-307-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PROSTHETICS AND ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-307-4191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T.,C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016100400004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.