Provider Demographics
NPI:1356393896
Name:KEYSTONE CARE THERAPIES INC
Entity type:Organization
Organization Name:KEYSTONE CARE THERAPIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-541-4410
Mailing Address - Street 1:630 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19061
Mailing Address - Country:US
Mailing Address - Phone:610-541-4410
Mailing Address - Fax:610-604-9936
Practice Address - Street 1:1001 BALTIMORE PIKE
Practice Address - Street 2:SUITE 108
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064
Practice Address - Country:US
Practice Address - Phone:610-604-0439
Practice Address - Fax:610-604-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT000858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016182270004Medicaid
PA0016182270004Medicaid