Individual provider Active NPI

Sean Macisaac, PT. DPT

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1154040434
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
048977-01 Issued in NY
Practice address
165 Smith St
Brooklyn, NY 11201-6337
Phone
(718) 795-2744
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 048977-01 NY Primary

Addresses

Primary practice location

165 Smith St
Brooklyn, NY 11201-6337

Mailing address

165 Smith St
Brooklyn, NY 11201-6337
Phone (718) 795-2744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230214002830 NY Practitioner - Physical Therapist in Private Practice 8022480391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Link Home Therapy Services of Ny-PT OT SLP PLLCGroup PAC ID 2466704713, 42 clinicians
Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians
Cynergy Physical Therapy Grand Central PLLCGroup PAC ID 8729470653, 5 clinicians
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians

Practice addresses (Care Compare)

108 S Franklin Ave
Suite 10
Valley Stream, NY 11580-6105
Phone (718) 650-6230

138 5TH Ave
FL 2
New York, NY 10011-4367
Phone (212) 287-4257

166 Smith St
Brooklyn, NY 11201-6986

375 Faunce Corner Rd
Suite C
North Dartmouth, MA 02747-1258
Phone (774) 425-7911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048977-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cynergy Physical Therapy Grand Central PLLC Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Dec 1, 2025 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 4

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1154040434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "718-795-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SMITH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016337",
            "telephone_number": "718-795-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACISAAC",
        "first_name": "SEAN",
        "credential": "PT. DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048977-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.