Sean S McIntire, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 40369 Issued in CA

Practice address

4435 Eastgate Mall
#120
San Diego, CA 92121-1982

Phone

(858) 587-8669

Fax

(858) 587-8675

NPI assigned

Sep 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Mikla Dunning Physical Therapy Systems PCGroup PAC ID 0941592067, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mikla Dunning Physical Therapy Systems, PC

  dba KIME Performance

  • Physical Therapy Clinic/Center
  • El Dorado Hills, CA
  • NPI 1619334992
  Medicare reassignment Care Compare group NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Encinitas, CA
  • NPI 1588610315
  NPD (past)
• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1003241738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "#210",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "858-587-8669",
            "fax_number": "858-587-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 EASTGATE MALL",
            "address_2": "#120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211982",
            "telephone_number": "858-587-8669",
            "fax_number": "858-587-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE",
        "first_name": "SEAN",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby McIlhon
• Hannah Marie McIlroy, MSOT, OTR/L
• Roman G. McInnerney, DO
• Erin Elizabeth Moffett McIntire, RN, IBCLC
• Kyle Lalanne McIntire, PROPHY TECH
• William Oliver McIntire, DMD,MS
• Leita Jani McIntosh-Koontz, MFT
• Duncan Gray McIntosh, OTR/L
• Kyle Joseph McIntosh, IDC
• Michael Joseph McIntosh, PHARM. D.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.

Verify at the official NPI Registry.