Seaton Jang, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6063 Issued in ME

Practice address

185 Ocean St
South Portland, ME 04106-3600

Phone

(207) 799-8226

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Back in Motion Physical Therapy, LLC

  • Physical Therapist
  • Gorham, ME
  • NPI 1821165960
  Medicare reassignment

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1194493171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OCEAN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063600",
            "telephone_number": "207-799-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OCEAN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063600",
            "telephone_number": "207-799-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "SEATON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jacobsen, DMD, MD
• Alice Kelley Jacobson, PA-C
• Michael Jaeger
• Breanna James
• Jamie L Jandreau, LCSW
• Jeanne Sweet Psychiatric Services LLC
• Jennifer Schleh FNP LLC
• Bailey Jennings, PMHNP
• Jet Dental of Maine, PLLC
• Joan E. Larkin Inc

• Physical Therapist in South Portland, ME
• Providers in South Portland, 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 2, 2021; 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.