Individual provider Active NPI

Sean James McFadden, OTD, OTR/L

  • Occupational Therapist
  • Minden, NE
National Provider Identifier
1194550079
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2939 Issued in NE
Practice address
244 N Minden Ave
Minden, NE 68959-1643
Phone
(308) 832-1500
Fax
(308) 832-1551
NPI assigned
Sep 3, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2939 NE Primary

Addresses

Primary practice location

244 N Minden Ave
Minden, NE 68959-1643

Mailing address

244 N Minden Ave
Minden, NE 68959-1643
Phone (308) 832-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920002314 NE Practitioner - Occupational Therapist in Private Practice 0547701203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 W 5TH St
Lexington, NE 68850-1903
Phone (308) 324-3700

211 W 33Rd St
Suite a
Kearney, NE 68845-3485
Phone (308) 236-5884

244 N Minden Ave
Minden, NE 68959-1643
Phone (308) 832-1500

620 E 25TH St
Suite 7
Kearney, NE 68847-5529
Phone (308) 455-1781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2939NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Aug 23, 2024 Accepting new patients
Family Physical Therapy & Sports Center CurrentSince Aug 23, 2024 Accepting new patients
Family Physical Therapy & Sports Center Past Accepting new patients

Locations

601 Highway 6
Ste B
Ashland, NE 68003
Phone (531) 240-4444

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200

620 E 25th St
Ste 7
Kearney, NE 68847
Phone (308) 455-1781

110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700

244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500

3901 W Norfolk Ave
Ste P
Norfolk, NE 68701
Phone (402) 371-9026

321 Grand Ave
Ravenna, NE 68869
Phone (308) 452-7154

105 W 2nd St
Tilden, NE 68781
Phone (402) 928-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1194550079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "SEAN",
        "middle_name": "JAMES",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.