Sean Ahern, PT
Individual provider Active NPI Physical Therapist · Simi Valley, CA
NPI 1366058828 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1366058828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT19521 (CA)
- Practice address
- 762 Twin Peaks Ave
Simi Valley, CA 93065-7059 - Phone
- (805) 428-3649
- NPI assigned
- Sep 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19521 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT19521 | CA | Yes |
Addresses
Primary practice location
762 Twin Peaks Ave
Simi Valley, CA 93065-7059
Mailing address
762 Twin Peaks Ave
Simi Valley, CA 93065-7059
Phone (805) 428-3649
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- Megha Agarwal
- Armond Aghakhani
- Eugene S Ahn
- Soo Ahn
- Annika Ainza
- Franchesca Angela Africa Akia
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All providers in Simi Valley, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.