Active NPI
Colin Ketchel, DPT
- Physical Therapist
- Branford, CT
National Provider Identifier
1801540380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13446
- Practice address
- 6 Business Park Dr
Branford, CT 06405-2988 - Phone
- (203) 483-7979
- NPI assigned
- Feb 4, 2022
- 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 | 13446 | CT | Primary |
Addresses
Primary practice location
6 Business Park Dr
Branford, CT 06405-2988
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13446 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anb-Ptsma Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| The Physical Therapy Institute | Past | Accepting new patients | |
| The Physical Therapy Institute | Physical Therapist | Past | Accepting new patients |
| Sacred Heart University, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1224 Main St
Ste 5
Branford, CT 06405
Phone (203) 483-7979
6 Business Park Dr
Ste 201
Branford, CT 06405
Phone (203) 483-7979
103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885
47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595
Organizations & group practices 4
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.
-
- Physical Therapist
- West Hartford, CT
- NPI 1659453371
-
- Physical Therapist
- Fairfield, CT
- NPI 1154678928
-
- Physical Therapy Clinic/Center
- Elizabethtown, PA
- NPI 1306245089
-
- Physical Therapist
- Washington, PA
- NPI 1417970690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1801540380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-409-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BUSINESS PARK DR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064052988",
"telephone_number": "203-483-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHEL",
"first_name": "COLIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.