Individual provider Active NPI

Sean A Trucano, MSPT

  • Physical Therapist
  • Vineland, NJ
National Provider Identifier
1386611069
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01035900 Issued in NJ
Practice address
1051 W Sherman Ave
Vineland, NJ 08360-6931
Phone
(856) 696-5656
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 40QA01035900 NJ Primary

Addresses

Primary practice location

1051 W Sherman Ave
Vineland, NJ 08360-6931

Mailing address

3929 Nathan LN
Vineland, NJ 08361-7004

Other practice location 1

24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190920000048 NJ Practitioner - Physical Therapist in Private Practice 4587721170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

801 Tilton Rd
Northfield, NJ 08225-1265
Phone (609) 645-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01035900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 21, 2019 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Jul 21, 2019 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

801 Tilton Rd
Northfield, NJ 08225
Phone (609) 645-0505

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

733 Route 72 W
Unit 15E
Stafford Township, NJ 08050
Phone (267) 261-3730

1051 W Sherman Ave
Vineland, NJ 08360
Phone (856) 691-0200

Organizations & group practices 9

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1386611069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 NATHAN LN",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-696-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441776",
            "country_code": "US",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUCANO",
        "first_name": "SEAN",
        "middle_name": "A",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01035900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.