Individual provider Active NPI

Sean Colaco, DPT

  • Physical Therapist
  • Sumter, SC
National Provider Identifier
1568021418
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9739 Issued in SC
Practice address
75 W Wesmark Blvd
Sumter, SC 29150
Phone
(803) 938-5395
Fax
(803) 938-5396
NPI assigned
Jun 12, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296700 CA
Physical Therapist 225100000X 9739 SC Primary

Addresses

Primary practice location

75 W Wesmark Blvd
Sumter, SC 29150

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484

Other practice location 1

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926003459 MI Practitioner - Physical Therapist in Private Practice 9335478049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Rehab Specialists PCGroup PAC ID 9133136864, 30 clinicians

Practice addresses (Care Compare)

3921 Jackson Rd
Ann Arbor, MI 48103-1823
Phone (736) 665-1626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296700CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients
Orthopaedic Rehab Specialists, PC Physical Therapist CurrentSince Dec 18, 2023 Accepting new patients
Benchmark Physical Therapy Michigan LLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Carolina Physical Therapy and Sports Medicine, Inc. CurrentSince Jun 20, 2019 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3921 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 665-1626

2136 Robinson Rd
Ste 1
Jackson, MI 49203
Phone (517) 750-2540

3073 Shirley Dr
Jackson, MI 49201

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

1048 N Monroe St
Monroe, MI 48162
Phone (734) 241-1400

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857

Organizations & group practices 4

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1568021418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "803-788-8484",
            "fax_number": "803-788-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-938-5395",
            "fax_number": "803-938-5396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Atrium Way",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292236301",
            "country_code": "US",
            "telephone_number": "803-788-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLACO",
        "first_name": "SEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.