Active NPI
Sean Colaco, DPT
- Physical Therapist
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9739
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 296700 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Orthopaedic Rehab Specialists, PC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy Michigan LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Physical Therapy and Sports Medicine, Inc. | Current | 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.
-
- Physical Therapist
- Jackson, MI
- NPI 1619956646
-
- Physical Therapist
- Midland, MI
- NPI 1629740188
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
-
- Physical Medicine & Rehabilitation Physician
- Columbia, SC
- NPI 1952491490
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.