Sean Patrick Fernald, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9992 Issued in CA

Practice address

8211 Sierra College Blvd Ste 400
Roseville, CA 95661-9405

Phone

(916) 782-2761

NPI assigned

Oct 25, 2022

Last updated

Oct 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Capitol Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Sacramento, CA
  • NPI 1649288648
  NPD

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1437876984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 SIERRA COLLEGE BLVD STE 400",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956619405",
            "telephone_number": "916-782-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Auburn Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958211619",
            "country_code": "US",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNALD",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfernald@capitolpt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2288 Auburn Blvd Ste 107",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958211619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Fentzke, MD
• Benjamin Ferguson, DO
• Caitlin Ferguson
• Emily P Ferguson, M.S., P.P.S.
• Teresa Mosqueda Ferguson, M.D.
• Bianca Carine Fernandez Y Garcia, MD
• Alexa Gabrielle Fernandez, PA-C
• Arturo Fernandez
• John Fernandez
• Wanda Fernandez

• Physical Therapy Assistant in Roseville, CA
• Providers in Roseville, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.