Individual provider Active NPI

Sean Edward Wronka, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1093463788
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1464 Madera Rd Unit I-1
Simi Valley, CA 93065-3077
Phone
(805) 306-1622
NPI assigned
Mar 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

1464 Madera Rd Unit I-1
Simi Valley, CA 93065-3077

Mailing address

1464 Madera Rd Unit I-1
Simi Valley, CA 93065-3077
Phone (805) 306-1622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414000842 CA Practitioner - Physical Therapist in Private Practice 6406242700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic Physical Therapy IncGroup PAC ID 6507821436, 10 clinicians

Practice addresses (Care Compare)

1464 Madera Rd
Suite G
Simi Valley, CA 93065-3061
Phone (805) 306-1622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Physical Therapy, Inc CurrentSince Mar 1, 2022 Accepting new patients
Athletic Physical Therapy Inc CurrentSince Mar 1, 2022 Accepting new patients
Athletic Physical Therapy PastSince Mar 20, 2022 Accepting new patients

Locations

12424 Wilshire Blvd
Ste 101
Los Angeles, CA 90025
Phone (310) 826-2977

1464 Madera Rd
Ste G
Simi Valley, CA 93065
Phone (805) 306-1622

1464 Madera Rd
Unit I1
Simi Valley, CA 93065
Phone (805) 306-1622

30837 E Thousand Oaks Blvd
Westlake Village, CA 91362
Phone (818) 340-2002

Organizations & group practices 3

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": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1093463788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD UNIT I-1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-306-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD UNIT I-1",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-306-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRONKA",
        "first_name": "SEAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.