Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain State Home Rehab, Inc

Organization Physical Therapist · NPI 1063543585

Mountain State Home Rehab, Inc provides Physical Therapist services 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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