Individual provider Active NPI

Keith Richard Zabala, P.T.

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1033340872
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26789 Issued in CA
Practice address
2838 Oswell St
Bakersfield, CA 93306-2704
Phone
(661) 377-1700
Fax
(661) 616-9199
NPI assigned
Jul 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26789 CA Primary

Addresses

Primary practice location

2838 Oswell St
Bakersfield, CA 93306-2704

Mailing address

3400 Calloway Dr Ste 603
Bakersfield, CA 93312-2514
Phone (661) 377-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000557 CA Practitioner - Physical Therapist in Private Practice 6204814635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terrio Therapy-Fitness IncGroup PAC ID 8628059805, 34 clinicians

Practice addresses (Care Compare)

1800 Westwind Dr
Suite 500
Bakersfield, CA 93301-3032
Phone (661) 377-1700

2838 Oswell St
Bakersfield, CA 93306-2704
Phone (661) 377-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26789CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Terrio Therapy-Fitness, Inc. Physical Therapist CurrentSince Apr 1, 2009 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

3400 Calloway Dr
Ste 603
Bakersfield, CA 93312

1800 Westwind Dr
Ste 500
Bakersfield, CA 93301
Phone (661) 322-9411

8302 Espresso Dr
Ste 100
Bakersfield, CA 93312
Phone (661) 703-7715

2838 Oswell St
Bakersfield, CA 93306
Phone (661) 873-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1033340872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR STE 603",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122514",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 OSWELL ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062704",
            "telephone_number": "661-377-1700",
            "fax_number": "661-616-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALA",
        "first_name": "KEITH",
        "middle_name": "RICHARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-28",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.