Individual provider Active NPI

Sean Robert Jones, PT, DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1033870357
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029254 Issued in PA
Practice address
1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone
(520) 822-8640
Fax
(520) 822-8641
NPI assigned
Jan 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT029254 PA Primary

Addresses

Primary practice location

1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

5108 E Trindle Rd Ste 200
Mechanicsburg, PA 17050-3300
Phone (717) 790-9920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220119002079 PA Practitioner - Physical Therapist in Private Practice 6002208345 Reassigns benefits to 1 organization
I20220913003359 SC Practitioner - Physical Therapist in Private Practice 6002208345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10921SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 31, 2022 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince May 9, 2022 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

192 Newberry Pkwy
Etters, PA 17319
Phone (717) 212-2470

5108 E Trindle Rd
Ste 200
Mechanicsburg, PA 17050
Phone (717) 790-9920

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

Organizations & group practices 6

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": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1033870357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E TUCSON MARKETPLACE BLVD STE 155",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136563",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5108 E Trindle Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170503300",
            "country_code": "US",
            "telephone_number": "717-790-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SEAN",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-08",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.