Active NPI
Sean P Sheerin, PTA
- Physical Therapy Assistant
- Sturtevant, WI
National Provider Identifier
1083748255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 8700 Durand Ave
Suite 100
Sturtevant, WI 53177 - Phone
- (262) 886-2599
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
8700 Durand Ave
Suite 100
Sturtevant, WI 53177
Mailing address
7018 Shagbark LN
Burlington, WI 53105
Phone (262) 758-0488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1253-019 | Other | WI | STATE OF WISCONSIN PTA LI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Human Performance Consulting | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Sturtevant, WI
- NPI 1013057322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083748255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7018 SHAGBARK LN",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "53105",
"telephone_number": "262-758-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 DURAND AVE",
"address_2": "SUITE 100",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "53177",
"telephone_number": "262-886-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEERIN",
"first_name": "SEAN",
"middle_name": "P",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN PTA LI",
"identifier": "1253-019",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturtevant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.