Active NPI
Sean Dwyer, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1285285577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12380
- Practice address
- 36 W 44TH St Ste 403
New York, NY 10036-8107 - Phone
- (212) 759-2280
- NPI assigned
- Sep 27, 2019
- Last updated
- Aug 24, 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 | 12380 | CT | Primary |
Addresses
Primary practice location
36 W 44TH St Ste 403
New York, NY 10036-8107
Mailing address
31 E 32ND St FL 4
New York, NY 10016-5595
Other practice location 1
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1285285577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 E 32ND ST FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 W 44TH ST STE 403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368107",
"telephone_number": "212-759-2280"
}
],
"practiceLocations": [
{
"address_1": "1931 Black Rock Tpke",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CT",
"postal_code": "068253506",
"country_code": "US",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DWYER",
"first_name": "SEAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-27",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "12380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.