Sean Kevin Ferguson, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT298262 Issued in CA

Practice address

30655 Hoover Rd
Warren, MI 48093-6537

Phone

(586) 574-1200

Fax

(586) 574-9425

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, MI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Select San Diego Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1700516408
  Medicare reassignment Care Compare group NPD
• Novacare Outpatient Rehabilitation East, Inc.

  • Rehabilitation Clinic/Center
  • Ferndale, MI
  • NPI 1386295210
  Medicare reassignment
• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Rochester Hills, MI
  • NPI 1316602675
  NPD
• San Clemente Physical Therapy Inc

  • Physical Therapist
  • San Clemente, CA
  • NPI 1134237985
  NPD
• Select San Diego Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • Chula Vista, CA
  • NPI 1730819442
  NPD
• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Lansing, MI
  • NPI 1033216379
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1447875745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NOVACARE REHABILITATION 30655 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48093",
            "telephone_number": "586-574-1200",
            "fax_number": "586-574-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30655 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936537",
            "telephone_number": "586-574-1200",
            "fax_number": "586-574-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 Camino De Los Mares Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926732806",
            "country_code": "US",
            "telephone_number": "949-240-0600",
            "fax_number": "949-240-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SEAN",
        "middle_name": "KEVIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501302116",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT298262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT298262",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501302116",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@scpt.occoxmail.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "647 Camino De Los Mares Ste 111",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926732806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew A Feher, DDS
• Danielle Feldkamp, DPT
• Dawn Cheri Felix-Wall, PT
• Nickesha Fenton
• Gail Ferguson, OTR
• Sue M Ferko, CRNA
• Devin Fernandez
• Adam I Fienman, D.D.S.
• Maria Teresa Figueiredo, PT
• Carly Filion, PA-C

• Physical Medicine & Rehabilitation Physician in Warren, MI
• Providers in Warren, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.