Sean Patrick Landis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28611 Issued in FL

Practice address

9051 Tamiami TRL N
Naples, FL 34108-2596

Phone

(239) 591-4711

NPI assigned

Sep 24, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pelican Sports and Rehabilitation, Inc

  • Physical Therapist
  • Naples, FL
  • NPI 1437173101
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1013343862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082596",
            "telephone_number": "239-591-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9051 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082596",
            "telephone_number": "239-591-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF PHYSICAL THERAPY PRACTICE",
            "identifier": "28611",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF PHYSICAL THERAPY PRACTICE",
            "identifier": "08703R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon E Lamos, MD
• Maxine Lamoureux, LMT
• Lana'S Dental Care, P.a.
• Elisa Landa
• John P Landi, MD
• Lynn Y Landreth, P.T.
• Dena Frances Landry, ED.D.
• Kristy Landry, PA
• John Lane
• Monteena Hackett Lane

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.