Organization
MOUNTAIN STATE HOME REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE BANIAK PT (OWNER)
(301) 707-3346
Entity
Organization
Contact information
Practice address
RR 5 BOX 521, KEYSER, WV 26726-9016
(301) 707-3346
(304) 726-4213
Mailing address
RR 5 BOX 521, KEYSER, WV 26726-9016
(301) 707-3346
(304) 726-4213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1589
WV
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up