Individual provider Active NPI

Keith Sayball, PT, DPT

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1881003044
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11817 Issued in CT
Practice address
9 Ethan Allen Hwy
2 North and South
Ridgefield, CT 06877
Phone
(203) 493-5056
Fax
(207) 493-5078
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4265 ME
Physical Therapist 225100000X 11817 CT Primary

Addresses

Primary practice location

9 Ethan Allen Hwy
2 North and South
Ridgefield, CT 06877

Mailing address

111 Ossipee TRL E
Standish, ME 04084-6464
Phone (207) 642-5325

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

LicenseStateTypeSpecialty
11817CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannaford Bros. Co., LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1881003044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSSIPEE TRL E",
            "city": "STANDISH",
            "state": "ME",
            "postal_code": "040846464",
            "telephone_number": "207-642-5325",
            "fax_number": "207-642-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ETHAN ALLEN HWY",
            "address_2": "2 NORTH AND SOUTH",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "06877",
            "telephone_number": "203-493-5056",
            "fax_number": "207-493-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYBALL",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4265",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.