Mountain State Home Rehab, Inc.
NPI 1063543585ActiveOrganization· Physical Therapist· Keyser, WV
Physical Therapist in Keyser, West Virginia, registered in NPPES in March 2007. The authorized official on file is Mary Jane Baniak, PT, Owner.
Overview
| NPI | 1063543585 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1589 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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