Sean Jeffrey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4871 Issued in ME

Practice address

135 Grant Rd
Freeport, ME 04032-5831

Phone

(401) 440-7784

NPI assigned

Aug 28, 2017

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reform Physical Therapy IncGroup PAC ID 7214239540, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reform Physical Therapy, Inc

  • Physical Therapist
  • Yarmouth, ME
  • NPI 1487028775
  Medicare reassignment Care Compare group NPD
• Greater Brunswick Physical Therapy P.a.

  dba Lewiston-Auburn Physical Therapy

  • Physical Therapist
  • Topsham, ME
  • NPI 1568567659
  Medicare reassignment NPD
• Centreboard 207 LLC

  dba Centreboard Physical Therapy and Massage

  • Physical Therapist
  • Yarmouth, ME
  • NPI 1457082968
  Medicare reassignment
• Rivertree Osteopathic Health PC

  dba Freeport Osteopathic Health

  • Neuromusculoskeletal Medicine & OMM Physician
  • Topsham, ME
  • NPI 1093002438
  NPD (past)

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1174040406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GRANT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040325831",
            "telephone_number": "401-440-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GRANT RD",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040325831",
            "telephone_number": "401-440-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A. Hendricks, D.C.
• Matthew Howard, LCSW
• Heather W Hyatt, M.S.W., L.C.S.W.
• Andrew Percy Iverson,MD II, MD
• Jeffrey a Benson (Freeport Family Health Care)
• David Martin Johnson, DO
• Christopher Paul Joseph, RPH, CDM
• Kara L Kaikini, M.S., IBCLC
• Jodie B Kaufman, CNM, FNP-C
• Susan Walsh Kelley, OTR/L

• Physical Therapist in Freeport, ME
• Providers in Freeport, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.