MEDICARE: KEYSTONE REHABILITATION SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QP2000X	Physical Therapy Clinic/Center
2	261QR0400X	Rehabilitation Clinic/Center
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1205879533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYSTONE REHABILITATION SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	4714 GETTYSBURG RD
Second Line	:	LEGAL DEPT
City	:	MECHANICSBURG
State	:	PA
Zip	:	17055-4325
Country	:	US
Telephone Number	:	717-972-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	678 E TAGGART ST STE 104
Second Line	:
City	:	EAST PALESTINE
State	:	OH
Zip	:	44413-2422
Country	:	US
Telephone Number	:	330-426-9998
Fax Number	:	330-426-9447

Authorized Official
Title or Position	:	VICE PRESIDENT & SECRETARY
Name	:	MR. MICHAEL E TARVIN
Credential	:
Telephone Number	:	717-972-1100

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	09/30/2021

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