KEYSTONE REHABILITATION SYSTEMS INC (NPI# 1811939358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811939358 |
| Entity Type | Organization |
| Organization Name | KEYSTONE REHABILITATION SYSTEMS INC |
| Other Organization Name | KEYSTONE PHYSICAL THERAPY |
| Practice Address |
430 Penn Lincoln Dr Penn Lincoln Plaza Imperial PA 15126-9781 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7246955661 |
| Practice Fax Number | 7246957135 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT & SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Keystone Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346549078 | Keystone Rehabilitation Systems Inc | Clinic/Center | 731 Highland Dr, Tyrone, PA 16686-1920 | 2011-03-21 |
| 1316116379 | Keystone Rehabilitation Systems Inc | Clinic/Center | 411 Theatre Dr, Johnstown, PA 15904-2838 | 2008-02-25 |
| 1215135405 | Keystone Rehabilitation Systems Inc | Clinic/Center | 2614 A Memorial Blvd, Connellsville, PA 15425-1488 | 2007-07-10 |
| 1083643563 | Keystone Rehabilitation Systems Inc | Clinic/Center | 508 Pittsburgh Street, Suite 101, Mars, PA 16046-1095 | 2006-06-30 |
| 1679518963 | Keystone Rehabilitation Systems Inc | Clinic/Center | 700 Beta Dr, Suite 500r, Mayfield Village, OH 44143-2376 | 2006-06-19 |
| 1689619918 | Keystone Rehabilitation Systems Inc | Clinic/Center | 310 Greengate Centre Cir, Greensburg, PA 15601-1298 | 2006-06-19 |
| 1235174772 | Keystone Rehabilitation Systems Inc | Clinic/Center | 1498 N Broadway St, Greenville, OH 45331-2454 | 2006-06-18 |
| 1164467049 | Keystone Rehabilitation Systems Inc | Clinic/Center | 612 Salt St, Saltsburg, PA 15681-1128 | 2006-06-17 |
| 1134164056 | Keystone Rehabilitation Systems Inc | Clinic/Center | 109 W 9th St, Berwick, PA 18603-3024 | 2006-06-17 |
| 1295770105 | Keystone Rehabilitation Systems Inc | Clinic/Center | 4848 Route 8, Landmark Center, Allison Park, PA 15101-2362 | 2006-06-17 |
| Street Address |
430 PENN LINCOLN DR PENN LINCOLN PLAZA |
| City | IMPERIAL |
| State | PA |
| Zip Code | 15126-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083278709 | Jayme Long | Specialist/Technologist | 430 Penn Lincoln Dr, Imperial, PA 15126-9781 | 2019-04-29 |
| 1861717688 | Matthew Graham | Physical Therapist | 430 Penn Lincoln Dr, Imperial, PA 15126-9781 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998658 | Renee Lesko | Massage Therapist | 120 West Allegheny Road, Suite 2, Imperial, PA 15126 | 2014-10-23 |
| 1427018084 | Jay Douglas Loeb | Chiropractor | 490 Penn Lincoln Dr, Imperial, PA 15126 | 2006-03-27 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1104233147 | Vincenzo Sebastiani | Occupational Therapy Assistant | 806 Ponderosa Dr, Imperial, PA 15126-1169 | 2014-07-22 |
| 1386807154 | Heather Rae Mangieri | Dietitian, Registered | 815 Ponderosa Dr, Imperial, PA 15126-1170 | 2008-07-02 |
| 1609809078 | Milo Mark Ujevich | Radiology | 839 Ponderosa Dr, Imperial, PA 15126-1170 | 2006-07-09 |
| 1649435280 | Heather Mangieri Nutrition, LLC | Dietitian, Registered | 815 Ponderosa Dr, Imperial, PA 15126-1170 | 2008-07-23 |
| 1336467026 | Sharon A Glover | Occupational Therapist | 30 Moore Rd, Imperial, PA 15126-2215 | 2010-05-05 |
| 1487253290 | Peter Heh | Behavioral Analyst | 1690 Kennedy Rd, Imperial, PA 15126-9130 | 2020-10-22 |
| Find all providers in zip 15126 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1174120448 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 14953 Kutztown Rd Ste 1, Kutztown, PA 19530-8381 | 2020-10-08 |
| 1558979328 | Phs Physical Therapy, LLC | Clinic/Center | 2201 Brunswick Dr Ste 2400, Hanover, PA 17331-8350 | 2020-07-17 |
| 1043835705 | Reeves Physical Therapy LLC | Clinic/Center | 509 Spring Garden St, Philadelphia, PA 19123-2820 | 2020-06-09 |
| 1235751264 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 289 Cetronia Rd Unit 102, Allentown, PA 18104-9223 | 2020-05-13 |
| 1770105082 | Institute for Cognitive Prosthetics Inc | Clinic/Center | 346 Llandrillo Rd, Bala Cynwyd, PA 19004-2335 | 2020-05-08 |
| 1245877430 | Rehabclinics (spt), Inc. | Clinic/Center | 255 Main St Ste 120, King of Prussia, PA 19406-1509 | 2019-12-06 |
| 1457994253 | Phs Physical Therapy, LLC | Clinic/Center | 5815 York Rd, New Oxford, PA 17350-9464 | 2019-10-24 |
| 1710537097 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 19 W Highland Ave, Philadelphia, PA 19118-3309 | 2019-09-18 |
| 1902453343 | Rehabclinics (spt), Inc. | Clinic/Center | 2721 Street Rd Ste 2735, Bensalem, PA 19020-2810 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.