Individual provider Active NPI

Sean Christopher McClafferty, DPT

  • Physical Therapist
  • Ponte Vedra Beach, FL
National Provider Identifier
1568730976
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25469 Issued in FL
Practice address
816 A1A N
Suite 307
Ponte Vedra Beach, FL 32082-3219
Phone
(904) 543-4021
NPI assigned
Dec 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25469 FL Primary

Addresses

Primary practice location

816 A1A N
Suite 307
Ponte Vedra Beach, FL 32082-3219

Mailing address

42 Grand Myrtle Dr
Ponte Vedra, FL 32081-0562
Phone (904) 217-4922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25469FLMDPhysical Therapist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1568730976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GRAND MYRTLE DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810562",
            "telephone_number": "904-217-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 A1A N",
            "address_2": "SUITE 307",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823219",
            "telephone_number": "904-543-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAFFERTY",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.