Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mountain State Home Rehab, Inc

Organization Physical Therapist · NPI 1063543585

Mountain State Home Rehab, Inc is a Physical Therapist in Keyser, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Rr 5 Box 521
Keyser, WV 26726-9016
Phone: (301) 707-3346
Fax: (304) 726-4213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1589 (WV)

Record details

NPI number1063543585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Baniak — Owner · (301) 707-3346
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressRr 5 Box 521, Keyser, WV 26726-9016

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