Sean Ciborowski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024981 Issued in PA

Practice address

4 N 6TH St
Shamokin, PA 17872-5210

Phone

(570) 644-2353

NPI assigned

Feb 4, 2016

Sex

Male

Sole proprietor

No

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.

• Steffie Enterprises, Inc

  • Physical Therapist
  • Plains, PA
  • NPI 1184700684
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2016.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1326406497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N 6TH ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725210",
            "telephone_number": "570-644-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N 6TH ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178725210",
            "telephone_number": "570-644-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBOROWSKI",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back 2 Back Chiropractic LLC
• Thomas A Bradley, RPH
• Mary Lou Buendia, MD
• James R Bull, DMD
• Central Penn Physical Therapy Inc.
• Community Health Care RHC
• Community Health Care Rural Health Clinic, LLC
• Bradley Ryan Coneharrison, LMT
• Spingarn Crump, RPH
• Duane R. Donmoyer, M.D.

• All providers in Shamokin, PA
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.