Active NPI
Easton Jacob Sabala, DPT
- Physical Therapist
- Independence, MO
National Provider Identifier
1679434252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2025048513
- Practice address
- 108 W Maple Ave
Independence, MO 64050-2814 - Phone
- (816) 254-4510
- NPI assigned
- Nov 21, 2025
- Last updated
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2025048513 | MO | Primary |
Addresses
Primary practice location
108 W Maple Ave
Independence, MO 64050-2814
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
24530 Southside Rd
Waynesville, MO 65583-3317
Phone (573) 774-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 W Maple Ave
Serc Independence Square
Independence, MO 64050-2814
Phone (816) 254-4548
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025048513 | MO | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1679434252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W MAPLE AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640502814",
"telephone_number": "816-254-4510"
}
],
"practiceLocations": [
{
"address_1": "24530 Southside Rd",
"address_purpose": "LOCATION",
"city": "Waynesville",
"state": "MO",
"postal_code": "655833317",
"country_code": "US",
"telephone_number": "573-774-3666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABALA",
"first_name": "EASTON",
"middle_name": "JACOB",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-21",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2025048513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.