KEYSTONE SPINE AND SPORT LLC
NPI 1407623200
Chiropractor in King Of Prussia, PA
About Keystone Spine And Sport Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEYSTONE SPINE AND SPORT LLC (NPI 1407623200) is a healthcare organization registered as a chiropractor in King Of Prussia, Pennsylvania and active in the NPI registry since December 2023. The organization lists Timothy Legath, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keystone Spine And Sport Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Keystone Spine And Sport LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keystone Spine And Sport LLC's NPI number?
The NPI number for Keystone Spine And Sport LLC is 1407623200. It was assigned to this organization in the NPPES registry on December 11, 2023.
Where is Keystone Spine And Sport LLC located?
Keystone Spine And Sport LLC is located at 170 N Henderson Rd Ste 310, King Of Prussia, PA 19406. The listed phone number is (610) 466-5718.
What is Keystone Spine And Sport LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Keystone Spine And Sport LLC enrolled in Medicare?
Yes. Keystone Spine And Sport LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Keystone Spine And Sport LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Keystone Spine And Sport LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Keystone Spine And Sport LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Keystone Spine And Sport Llc · NPI 1407623200
Chiropractor organization in King Of Prussia, Pennsylvania. Organization record, active in the CMS NPPES registry since December 11, 2023.
## Identity
- **NPI:** 1407623200 (Entity type: Organization)
- **Enumerated:** December 11, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Legath, OWNER
## Practice location
- **Address:** 170 N HENDERSON RD STE 310, King Of Prussia, PA 19406-2155
- **Phone:** (610) 466-5718
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407623200) · Data from the CMS NPPES public registry.