IndividualActive
Keith Shaull, PT
NPI 1922038439 · Physical Therapist · Mesa, AZ
Provider details
- NPI number
- 1922038439
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 7213 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5440 E Southern Ave
Suite 101
Mesa, AZ 85206-2779
Phone: (480) 641-3533
Street-level locationGet directions
Mailing address
11421 E Paloma Ave
Mesa, AZ 85212-1971
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2014-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.