Sean Ahern, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19521 Issued in CA

Practice address

762 Twin Peaks Ave
Simi Valley, CA 93065-7059

Phone

(805) 428-3649

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1366058828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 TWIN PEAKS AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657059",
            "telephone_number": "805-428-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 TWIN PEAKS AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657059",
            "telephone_number": "805-428-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "SEAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ag Simply Medicine
• Agape Hospice Care, Inc.
• Megha Agarwal, M.D.
• Agen Inc
• Armond Aghakhani
• Eugene S Ahn, MD
• Soo Ahn, PHARM.D.
• Annika Ainza
• Franchesca Angela Africa Akia, AMFT
• Alamo Pharmacy Inc (Alamo Pharmacy)

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.