Sean Michael Neville, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007079 Issued in GA

Practice address

1930 Highland Ave
Suite a
Augusta, GA 30904-7800

Phone

(706) 481-9105

Fax

(706) 481-9107

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Peak Rehabilitation, Fitness and Performance Center

  • Physical Therapy Clinic/Center
  • Augusta, GA
  • NPI 1306083878

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1104906437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 HIGHLAND AVE",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047800",
            "telephone_number": "706-481-9105",
            "fax_number": "706-481-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 HIGHLAND AVE",
            "address_2": "SUITE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047800",
            "telephone_number": "706-481-9105",
            "fax_number": "706-481-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVILLE",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007079",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4215",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "4215",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT007079",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurobehavioral Associates, LLC
• Neurological Asssociate of Augusta, PC
• Jacob R Neuwirth
• Nevada Medical Choice Corp (claripath laboratories)
• Christi Nevard
• New Beginnings Family and Children Services, Inc
• New Creation Health Care LLC
• New Encounters Counseling Services
• New Frontiers in Health Care PC
• Andrew Newberry

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.