Individual provider Active NPI

Sean Dick

  • Physical Therapist
  • Westlake, OH
National Provider Identifier
1215520879
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2044 Issued in WY
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

Updated by the provider on Jan 26, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20210302002259 WY Practitioner - Physical Therapist in Private Practice 0244646040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.96 of 100Reported as group
Quality
70.73
Improvement activities
40
Cost
70.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-2044WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lodge Rehabilitation Services, LLC Physical Therapist CurrentSince Feb 15, 2021 Accepting new patients
Big Country Rehabilitation,LLC Physical Therapist CurrentSince Feb 15, 2021 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.

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.

Verify at the official NPI Registry.