Individual provider Active NPI

Sean Michael McElfresh, DPT

  • Physical Therapist
  • Grove City, OH
National Provider Identifier
1396006474
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013678 Issued in OH
Practice address
1590 Stringtown Rd
Unit 21
Grove City, OH 43123-9832
Phone
(614) 594-5341
Fax
(614) 539-2952
NPI assigned
Jun 5, 2012
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 PT013678 OH Primary

Addresses

Primary practice location

1590 Stringtown Rd
Unit 21
Grove City, OH 43123-9832

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 1

IdentifierTypeStateIssuer
0075593MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000119 OH Practitioner - Physical Therapist in Private Practice 0446415517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Link LLCGroup PAC ID 4587805940, 27 clinicians

Practice addresses (Care Compare)

7617 Dayton Springfield Rd
Fairborn, OH 45324-3560
Phone (937) 340-6063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013678OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Link LLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Hallett Enterprises, LLC Physical Therapist PastSince Jul 17, 2023 Accepting new patients

Locations

134 E Findlay St
Carey, OH 43316

7617 Dayton Springfield Rd
Fairborn, OH 45324
Phone (937) 340-6063

1823 W State St
Fremont, OH 43420
Phone (419) 334-7737

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1396006474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 STRINGTOWN RD",
            "address_2": "UNIT 21",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239832",
            "telephone_number": "614-594-5341",
            "fax_number": "614-539-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELFRESH",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075593",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.