Sean Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15303 Issued in WI

Practice address

225 Memorial Dr
Berlin, WI 54923-1243

Phone

(920) 361-5534

Fax

(920) 361-5910

NPI assigned

Jun 3, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ssmith328250@direct.thedacare.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1356721583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-361-5534",
            "fax_number": "920-361-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-361-5534",
            "fax_number": "920-361-5910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Scott and White Dr",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456441",
            "country_code": "US",
            "telephone_number": "979-207-0100",
            "fax_number": "979-207-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Scott and White Dr",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778456440",
            "country_code": "US",
            "telephone_number": "979-207-4000",
            "fax_number": "979-207-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N2934 State Road 22",
            "address_purpose": "LOCATION",
            "city": "Wautoma",
            "state": "WI",
            "postal_code": "549825267",
            "country_code": "US",
            "telephone_number": "920-361-5534",
            "fax_number": "920-361-5910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1260610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Silkey, MD
• Kerry Mark Simon, MD
• Thomas Simpkins, CRNA
• Tony D Singh, CRNA
• Effie E. Siomos, M.D.
• Kimberly J Soda-Murkley, RN
• Chad Spaulding, L.A.T.
• John Sprader, DIPL. AC.
• Joseph Daniel Statz
• Michael Stimac, PTA, LAT

• Physical Therapist in Berlin, WI
• Providers in Berlin, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.