Healthcare Provider Details

I. General information

NPI: 1265474712
Provider Name (Legal Business Name): KEYSTONE REHABILITATION SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 E MAIN ST
MOUNT JOY PA
17552-9546
US

IV. Provider business mailing address

665 PHILADELPHIA ST
INDIANA PA
15701-3941
US

V. Phone/Fax

Practice location:
  • Phone: 717-653-0207
  • Fax: 717-653-1993
Mailing address:
  • Phone: 724-465-3496
  • Fax: 724-465-3726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DENNIS FITZPATRICK
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 610-644-7824