Sean Farris, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20223 Issued in NC

Practice address

1565 Purdue Dr Ste 101a
Fayetteville, NC 28303-5537

Phone

(910) 484-8492

NPI assigned

Feb 6, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

Enrollment records 1

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.

• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1568468502
  Medicare reassignment NPD
• Proactive Therapy of North Carolina Inc

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1689679433
  NPD

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1528650090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 NC 27 E",
            "city": "COATS",
            "state": "NC",
            "postal_code": "275219596",
            "telephone_number": "828-514-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 PURDUE DR STE 101A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035537",
            "telephone_number": "910-484-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "SEAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-06",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fayetteville",
            "affiliation": "N",
            "address_1": "1565 Purdue Dr Ste 101A",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283035537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathy Parker Farley, NP
• Keishona Farmer, LCSW-A
• Nygzeona Farmer
• Jennifer Farrell
• Hannah Farris
• Fastmed Health NC, PLLC
• Fastmed Primary Care, P.C.
• Emmanuel Toluwani Fasusi
• Sumaira Fatima, MD
• Deja Shania Faulk

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.