Individual provider Active NPI

Sean Santagato, DPT

  • Physical Therapist
  • Totowa, NJ
National Provider Identifier
1235406794
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01425800 Issued in NJ
Practice address
351 Union Blvd
Totowa, NJ 07512-2556
Phone
(862) 239-1768
Fax
(862) 239-1769
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 40QA01425800 NJ Primary

Addresses

Primary practice location

351 Union Blvd
Totowa, NJ 07512-2556

Mailing address

351 Union Blvd
Totowa, NJ 07512-2556
Phone (862) 239-1768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000210 NJ Practitioner - Physical Therapist in Private Practice 3577722024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Spine and Sports Care of TotowaGroup PAC ID 3779894415, 4 clinicians

Practice addresses (Care Compare)

351 Union Blvd
Totowa, NJ 07512-2556
Phone (862) 239-1768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01425800NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Spine and Sports Care of Fort Lee PC Physical Therapist PastSince Oct 15, 2019 Accepting new patients

Organizations & group practices 2

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1235406794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122556",
            "telephone_number": "862-239-1768",
            "fax_number": "862-239-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122556",
            "telephone_number": "862-239-1768",
            "fax_number": "862-239-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAGATO",
        "first_name": "SEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01425800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.