Individual provider Active NPI

Sean O'Toole Flannagan, D.P.T.

  • Physical Therapist
  • Casa Grande, AZ
National Provider Identifier
1194806810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5696 Issued in AZ
Practice address
520 N Camino Mercado
Suite 1
Casa Grande, AZ 85222-5754
Phone
(520) 836-8621
NPI assigned
Oct 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5696 AZ Primary

Addresses

Primary practice location

520 N Camino Mercado
Suite 1
Casa Grande, AZ 85222-5754

Mailing address

PO Box 12264
Casa Grande, AZ 85230-2264
Phone (520) 836-8621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000519 AZ Practitioner - Physical Therapist in Private Practice 4880682095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvest Physical Therapy, LLCGroup PAC ID 3173511375, 11 clinicians

Practice addresses (Care Compare)

225 E Germann Rd
Suite 250
Gilbert, AZ 85297-2911
Phone (855) 331-7522

580 N Camino Mercado
Suite 25
Casa Grande, AZ 85122-5757
Phone (855) 331-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5696AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therazona Womens Health, LLC Current Accepting new patients
Harvest Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2004 Accepting new patients
The Pelvic Docs, LLC Physical Therapist PastSince Jun 25, 2023 Accepting new patients
Activerx, Inc. Physical Therapist PastSince Apr 17, 2020 Accepting new patients

Locations

1377 E Florence Blvd
Ste 151
Casa Grande, AZ 85122

580 N Camino Mercado
Ste 13
Casa Grande, AZ 85122
Phone (520) 836-8621

580 N Camino Mercado
Ste 25
Casa Grande, AZ 85122
Phone (520) 836-8621

2020 N Central Ave
Ste L100
Phoenix, AZ 85004
Phone (602) 252-0093

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12264",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852302264",
            "telephone_number": "520-836-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CAMINO MERCADO",
            "address_2": "SUITE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852225754",
            "telephone_number": "520-836-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNAGAN",
        "first_name": "SEAN",
        "middle_name": "O'TOOLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.