Individual provider Active NPI

Sean T Deacon, MPT

  • Physical Therapist
  • Marmora, NJ
National Provider Identifier
1437219649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01057300 Issued in NJ
Practice address
210 Route US 9 S
Suite 203
Marmora, NJ 08223-1200
Phone
(609) 390-2400
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA01057300 NJ Primary

Addresses

Primary practice location

210 Route US 9 S
Suite 203
Marmora, NJ 08223-1200

Mailing address

243 W 11TH St
Ship Bottom, NJ 08008-6311
Phone (609) 290-7662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928000079 NJ Practitioner - Physical Therapist in Private Practice 9931132008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

517 Route 72 W
Suite J
Manahawkin, NJ 08050-2821
Phone (800) 321-9999

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Oct 1, 2012 Accepting new patients
Rehabclinics SPT Inc. CurrentSince Jul 28, 2019 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Oct 1, 2012 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Jul 28, 2019 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients
Osprey Rehabilitation, LLC. Past Accepting new patients

Locations

517 Route 72 W
Ste J
Manahawkin, NJ 08050

999 Route 73 N
Ste 401
Marlton, NJ 08053

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

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

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437219649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 W 11TH ST",
            "city": "SHIP BOTTOM",
            "state": "NJ",
            "postal_code": "080086311",
            "telephone_number": "609-290-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROUTE US 9 S",
            "address_2": "SUITE 203",
            "city": "MARMORA",
            "state": "NJ",
            "postal_code": "082231200",
            "telephone_number": "609-390-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "SEAN",
        "middle_name": "T",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01057300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marmora, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.