Active NPI
Sean Dick
- Physical Therapist
- Westlake, OH
National Provider Identifier
1215520879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2044
- Practice address
- 23550 Center Ridge Rd Ste 105
Westlake, OH 44145-3655 - Phone
- (440) 895-9770
- Fax
- (440) 895-9961
- NPI assigned
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2044 | WY | Primary |
Addresses
Primary practice location
23550 Center Ridge Rd Ste 105
Westlake, OH 44145-3655
Mailing address
4243 Eagle PT
North Royalton, OH 44133-4172
Phone (330) 410-3958
Other practice location 1
7226 Commons Dr Ste B
Cheyenne, WY 82009-2678
Phone (307) 514-5834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 74.96 of 100
- Quality
- 70.73
- Improvement activities
- 40
- Cost
- 70.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2044 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lodge Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| Big Country Rehabilitation,LLC | Physical Therapist | Current | Accepting new patients |
| Novacare Rehabilitation of Ohio Inc | Past | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
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 and National Provider Directory roles.
-
- Physical Therapist
- Sundance, WY
- NPI 1558690099
-
- Physical Therapist
- Douglas, WY
- NPI 1366493264
-
- Physical Therapy Clinic/Center
- Beechwood, OH
- NPI 1740447895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1215520879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4243 EAGLE PT",
"city": "NORTH ROYALTON",
"state": "OH",
"postal_code": "441334172",
"telephone_number": "330-410-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23550 CENTER RIDGE RD STE 105",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441453655",
"telephone_number": "440-895-9770",
"fax_number": "440-895-9961"
}
],
"practiceLocations": [
{
"address_1": "7226 Commons Dr Ste B",
"address_purpose": "LOCATION",
"city": "Cheyenne",
"state": "WY",
"postal_code": "820092678",
"country_code": "US",
"telephone_number": "307-514-5834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICK",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-15",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-2044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.