Ketan Sadaria

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

006929 Issued in CT

Practice address

745 Main St
East Hartford, CT 06108-3115

Phone

(860) 289-2791

NPI assigned

May 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1083091680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAFOUNTAIN RD",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782252",
            "telephone_number": "860-623-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083115",
            "telephone_number": "860-289-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADARIA",
        "first_name": "KETAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CT",
            "license": "006929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon D Russell
• Lakesha S. Ruth
• Jahcasia Denyce Ryan
• Haleh Saadat, MD
• Maria Sacalosh, RDH
• Elise Mariam Sage, PNP
• Payam Sajedi, M.D.
• Keri Lynn Saladin
• Eddie Salinas
• Olivia Marie Salvatore

• Geriatric Physical Therapist in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Geriatric Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.