Active NPI
Sean Michael Moran, RPT
- Physical Therapist
- Seal Beach, CA
National Provider Identifier
1194470633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301687
- Practice address
- 148 Main St Ste G
Seal Beach, CA 90740-6386 - Phone
- (909) 664-4138
- NPI assigned
- Feb 14, 2022
- 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 Therapist | 225100000X | 301687 | CA | Primary |
Addresses
Primary practice location
148 Main St Ste G
Seal Beach, CA 90740-6386
Mailing address
13668 Cambridge PL
Chino, CA 91710-6603
Phone (909) 664-4138
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301687 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1194470633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13668 CAMBRIDGE PL",
"city": "CHINO",
"state": "CA",
"postal_code": "917106603",
"telephone_number": "909-664-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 MAIN ST STE G",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406386",
"telephone_number": "909-664-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.