Keystone Rehabilitation Systems Inc
Organization Active NPI Rehabilitation Clinic/Center · Erie, PA
NPI 1790726180 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1790726180
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- KEYSTONE REHABILITATION SYSTEMS INC
- Practice address
- 4630 Buffalo Rd
Erie, PA 16510-2207 - Phone
- (814) 899-0420
- Fax
- (814) 899-0599
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael E Tarvin
- Title
- Vice President & Secretary
- Phone
- (717) 972-1100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000615 | PA | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 7012826753 |
This NPI is an additional NPI on the enrollment Practice locations: Northern Cambria, PA; Vandergrift, PA; Johnstown, PA; Ford City, PA; Ebensburg, PA; Blairsville, PA; Indiana, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
4630 Buffalo Rd
Erie, PA 16510-2207
Mailing address
4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names
- Keystone Physical Therapy
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All providers in Erie, PA · Rehabilitation Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.