Keystone Rehabilitation Systems Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KEYSTONE REHABILITATION SYSTEMS INC

Doing business as

ProRehab Physical Therapy

Practice address

72 Washington St
Suite 2C
Topton, PA 19562-1017

Phone

(610) 682-0390

Fax

(610) 682-0392

NPI assigned

Jun 3, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Fitzpatrick

Title

Chief Financial Officer

Phone

(610) 644-7824

Specialties & licenses 1

Addresses

Other names 1

• ProRehab Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1942248646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 PHILADELPHIA ST",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013941",
            "telephone_number": "724-465-3496",
            "fax_number": "724-465-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST",
            "address_2": "SUITE 2C",
            "city": "TOPTON",
            "state": "PA",
            "postal_code": "195621017",
            "telephone_number": "610-682-0390",
            "fax_number": "610-682-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE REHABILITATION SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-644-7824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProRehab Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn R Grove, PTA
• Raymond Joseph Hauser, M.D.
• Heather Hermley
• Janet Lynn Horne, SPEECH LANGUAGE PATH
• Jeffrey John Jones, DO
• Steven C Kline
• Kimberly Lahovski
• Olivia Lambert, LPC/MS
• Margaret Woodland Leach, PTA
• Lutheran Senior Services East (The Lutheran Home at Topton)

• Physical Therapy Clinic/Center in Topton, PA
• Providers in Topton, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.