Active NPI
Sean Conlon
- Physical Therapist
- Hyannis, MA
National Provider Identifier
1639570377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21370
- Practice address
- 130 North St
Hyannis, MA 02601-3825 - Phone
- (508) 862-5000
- NPI assigned
- Sep 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21370 | MA | Primary |
Addresses
Primary practice location
130 North St
Hyannis, MA 02601-3825
Mailing address
731 Elm Ave
River Edge, NJ 07661-1405
Phone (201) 304-2329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21370 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1639570377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 ELM AVE",
"city": "RIVER EDGE",
"state": "NJ",
"postal_code": "076611405",
"telephone_number": "201-304-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 NORTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013825",
"telephone_number": "508-862-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "SEAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-12",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.