Individual provider Active NPI

Sean S Sipe, PT, DPT, SCS

  • Hand Physical Therapist
  • Lacey, WA
National Provider Identifier
1194768325
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
PT00007854 Issued in WA
Practice address
4740 Avery LN SE
Lacey, WA 98503-5603
Phone
(360) 491-1815
Fax
(360) 491-1615
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5393 ID
Hand Physical Therapist 2251H1200X PT00007854 WA Primary

Addresses

Primary practice location

4740 Avery LN SE
Lacey, WA 98503-5603

Mailing address

100 Dennis St SW
Ste B
Tumwater, WA 98501-6523
Phone (360) 338-0181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000693 WA Practitioner - Physical Therapist in Private Practice 4789572611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yelm Physical Therapy Services Inc PSGroup PAC ID 5395963490, 9 clinicians
Inspire Physical Therapy Inc PSGroup PAC ID 9830332337, 9 clinicians

Practice addresses (Care Compare)

417 W Yelm Ave
PO Box 765
Yelm, WA 98597-7679
Phone (440) 225-9147

4740 Avery LN SE
Lacey, WA 98503-5603
Phone (360) 491-1815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5393IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical Therapy, Inc., P.S. Physical Therapist CurrentSince Mar 1, 2013 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. CurrentSince Oct 1, 2018 Accepting new patients
Harbor Physical Therapy Services, PS Physical Therapist PastSince Jul 16, 2001 Accepting new patients
Centralia Physical Therapy Inc PS Physical Therapist PastSince Aug 27, 2012 Accepting new patients

Locations

4631 Whitman Ln SE
Ste D
Lacey, WA 98513
Phone (360) 338-0181

4740 Avery Ln SE
Lacey, WA 98503
Phone (360) 491-1815

601 W 5th Ave
Ste 308
Spokane, WA 99204
Phone (509) 413-2495

5905 N Mayfair St
#100
Spokane, WA 99208
Phone (509) 315-9155

100 Dennis St SW
Ste A
Tumwater, WA 98501
Phone (360) 704-3300

100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25026/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1194768325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW",
            "address_2": "STE B",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-338-0181",
            "fax_number": "360-338-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 AVERY LN SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035603",
            "telephone_number": "360-491-1815",
            "fax_number": "360-491-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPE",
        "first_name": "SEAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT5393",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "WA",
            "license": "PT00007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.