KEYSTONE PROSTHETICS AND ORTHOTICS NPI 1003812371

NPI Information

  • NPI: 1003812371
  • Provider Name: KEYSTONE PROSTHETICS AND ORTHOTICS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 231 NORTHERN BLVD
    STE D
    CLARKS SUMMIT, PA
    ZIP 18411
  • Phone: (570) 587-4110

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NPI Details

KEYSTONE PROSTHETICS AND ORTHOTICS is a prosthetic orthotic supplier in Clarks Summit, PA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. KEYSTONE PROSTHETICS AND ORTHOTICS NPI is 1003812371. The provider is registered as an organization entity type.

The provider's business location address is:

231 NORTHERN BLVD
STE D
CLARKS SUMMIT, PA
ZIP 18411-189
Phone: (570) 587-4110
Fax: (570) 587-4145

The provider's authorized official is David George Patrick .
The authorized official title is President/owner and has the following contact phone number (570) 587-4110.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001610040000BMEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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