Provider Demographics
NPI:1578616116
Name:KEYSER, SARAH N (MSPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:N
Last Name:KEYSER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:210 COMMERCE WAY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-8200
Mailing Address - Country:US
Mailing Address - Phone:207-439-2675
Mailing Address - Fax:207-439-4965
Practice Address - Street 1:64 PORTSMOUTH AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-6552
Practice Address - Country:US
Practice Address - Phone:603-772-8222
Practice Address - Fax:603-772-6738
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH08Y010957NH01OtherANTHEM
ME432321399Medicaid
NH30394480Medicaid