Individual provider Active NPI

Sean Thomas O'Reilly, DPT

  • Physical Therapist
  • Hyannis, MA
National Provider Identifier
1356501738
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18270 Issued in MA
Practice address
130 North St
Hyannis, MA 02601
Phone
(508) 771-6685
Fax
(508) 771-6687
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 18270 MA Primary

Addresses

Primary practice location

130 North St
Hyannis, MA 02601

Mailing address

199 Percival Dr
West Barnstable, MA 02668-1222
Phone (508) 292-7734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091224000084 MA Practitioner - Physical Therapist in Private Practice 7810037728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NBD Healthcare Associates IncGroup PAC ID 5991053639, 5 clinicians

Practice addresses (Care Compare)

3179 Main St
Suite a
Barnstable, MA 02630-1105
Phone (508) 209-7334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18270MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NBD Healthcare Associates, Inc. Physical Therapist CurrentSince Jul 13, 2018 Accepting new patients
Core Chiropractic and Physical Therapy, LLC Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
South Shore Orthopedics LLC Past Accepting new patients
South Shore Sports & Muscular Physical Therapist PastSince Nov 9, 2015 Accepting new patients

Locations

3179 Main St
Barnstable, MA 02630
Phone (508) 209-7334

3179 Main St
Ste A
Barnstable, MA 02630
Phone (508) 209-7334

Organizations & group practices 4

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1356501738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PERCIVAL DR",
            "city": "WEST BARNSTABLE",
            "state": "MA",
            "postal_code": "026681222",
            "telephone_number": "508-292-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-771-6685",
            "fax_number": "508-771-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.