Individual provider Active NPI

Sean M Fitzgerald, MPT

  • Physical Therapist
  • Jericho, VT
National Provider Identifier
1619083664
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
74 VT Route 15
Jericho, VT 05465-3011
Phone
(802) 899-5200
Fax
(802) 899-5800
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 Primary

Addresses

Primary practice location

74 VT Route 15
Jericho, VT 05465-3011

Mailing address

74 VT Route 15
Jericho, VT 05465-3011
Phone (802) 899-5200

Other practice location 1

63 Main St
Essex Junction, VT 05452-3122
Phone (802) 857-5976

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070611000156 VT Practitioner - Physical Therapist in Private Practice 0648378919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitions Physical Therapy LLC 5 clinicians

Practice addresses (Care Compare)

74 VT Route 15
Jericho, VT 05465-3011
Phone (802) 899-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Physical Therapy LLC Physical Therapist CurrentSince Feb 28, 2012 Accepting new patients

Locations

63 Main St
Essex Junction, VT 05452
Phone (802) 857-5976

74 Vt Route 15
Jericho, VT 05465
Phone (802) 857-5976

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1619083664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054653011",
            "telephone_number": "802-899-5200",
            "fax_number": "802-899-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 VT ROUTE 15",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054653011",
            "telephone_number": "802-899-5200",
            "fax_number": "802-899-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 Main St",
            "address_purpose": "LOCATION",
            "city": "Essex Junction",
            "state": "VT",
            "postal_code": "054523122",
            "country_code": "US",
            "telephone_number": "802-857-5976",
            "fax_number": "802-857-5175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.