Active NPI
Sean Patrick Smith, P.T.
- Neurology Physical Therapist
- Massapequa Park, NY
National Provider Identifier
1285927780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 024573
- Practice address
- 177 Abbey Street
Massapequa Park, NY 11762 - Phone
- (516) 809-5721
- NPI assigned
- May 17, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 024573 | NY | Primary |
| Pediatric Physical Therapist | 2251P0200X | 024573 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 024573 | NY |
Addresses
Primary practice location
177 Abbey Street
Massapequa Park, NY 11762
Mailing address
177 Abbey Street
Massapequa Park, NY 11762
Phone (516) 809-5721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Merrick Ave
East Meadow, NY 11554-4748
Phone (516) 393-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024573 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients |
Locations
801 Merrick Ave
East Meadow, NY 11554
Phone (516) 393-8900
9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212
972 Brush Hollow Rd
Fl 4
Westbury, NY 11590
Phone (516) 321-7526
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1285927780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 ABBEY STREET",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "11762",
"telephone_number": "516-809-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 ABBEY STREET",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "11762",
"telephone_number": "516-809-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SEAN",
"middle_name": "PATRICK",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "024573",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "024573",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "024573",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.