Individual provider Active NPI

Sean Lordan

  • Physical Therapist
  • Walpole, MA
National Provider Identifier
1205180635
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20305 Issued in MA
Practice address
1333 Main St
Ste G
Walpole, MA 02081-1755
Phone
(508) 668-8900
Fax
(508) 668-8901
NPI assigned
Nov 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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 20305 MA Primary

Addresses

Primary practice location

1333 Main St
Ste G
Walpole, MA 02081-1755

Mailing address

1333 Main St
Ste G
Walpole, MA 02081-1755
Phone (508) 668-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130103000377 MA Practitioner - Physical Therapist in Private Practice 7214180041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concierge Physical Therapy, Inc.Group PAC ID 1658630710, 23 clinicians

Practice addresses (Care Compare)

154 Turnpike Rd
Southborough, MA 01772-2120
Phone (508) 861-1010

211 Worcester Providence Tpke
Sutton, MA 01590-2905
Phone (508) 861-1010

307 Grafton St
Suite 103
Shrewsbury, MA 01545-6236
Phone (508) 841-5037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Concierge Physical Therapy, Inc. CurrentSince Dec 3, 2017 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Motion Works Physical Therapy, LLC Physical Therapist PastSince Dec 21, 2016 Accepting new patients

Locations

307 Grafton St
Ste 103
Shrewsbury, MA 01545
Phone (508) 841-5037

211 Worcester Providence Tpke
Sutton, MA 01590
Phone (508) 861-1010

211 Worcester Providence Tpke
#T
Sutton, MA 01590

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1205180635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MAIN ST",
            "address_2": "STE G",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811755",
            "telephone_number": "508-668-8900",
            "fax_number": "508-668-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MAIN ST",
            "address_2": "STE G",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811755",
            "telephone_number": "508-668-8900",
            "fax_number": "508-668-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORDAN",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.