KEYSTONE REHABILITATION SYSTEMS, INC.
NPI 1720538051
Clinic/Center - Physical Therapy in Altoona, PA

NPI Status: Active since October 11, 2016

Contact Information

169 LAKEMONT PARK BLVD
ALTOONA, PA
ZIP 16602
Phone: (814) 946-0105
Fax: (914) 846-4247

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • CLIA Number: 39D1084575
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-14-2026

About KEYSTONE REHABILITATION SYSTEMS, INC.

This page provides the complete NPI Profile along with additional information for Keystone Rehabilitation Systems, Inc., a provider established in Altoona, Pennsylvania operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1720538051 assigned on October 2016. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Michael Tarvin (Vice President & Secretary)

NPI
1720538051
Provider Name
KEYSTONE REHABILITATION SYSTEMS, INC.
Entity Type
Organization
Location Address
169 LAKEMONT PARK BLVD ALTOONA, PA 16602
Location Phone
(814) 946-0105
Location Fax
(914) 846-4247
Mailing Address
4714 GETTYSBURG RD MECHANICSBURG, PA 17055
Mailing Phone
(717) 972-1100
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-11-2016
Last Update Date
11-16-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL TARVIN

Authorized Official Title
VICE PRESIDENT & SECRETARY
Authorized Official Phone
(717) 972-1100

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D1084575
Facility Type
Physician Office
Certificate Effective Date
September 15, 2024
Certificate Expiration Date
September 14, 2026
Laboratory Director
DR. GREGORY J. FULCHIERO JR
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Keystone Rehabilitation Systems, Inc. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720538051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010316010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 3 + 1 + 6 + 0 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720538051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578504973KEYSTONE REHABILITATION SYSTEMS INC
Organization
Clinic/Center (Rehabilitation)169 LAKEMONT PARK BLVD
ALTOONA, PA 16602
(814) 946-0105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720538051, enumerated in the NPI registry as an "organization" on October 11, 2016

The provider is located at 169 Lakemont Park Blvd Altoona, Pa 16602 and the phone number is (814) 946-0105

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider's CLIA number is 39D1084575 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on October 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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