Individual provider Active NPI

Sean Epsilantis, PTA

  • Physical Therapy Assistant
  • Vero Beach, FL
National Provider Identifier
1639780984
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
30400 Issued in FL
Practice address
2965 20TH St
Vero Beach, FL 32960-3097
Phone
(772) 567-8585
Fax
(772) 299-7868
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 30400 FL Primary

Addresses

Primary practice location

2965 20TH St
Vero Beach, FL 32960-3097

Mailing address

12450 91St St
Fellsmere, FL 32948-5521
Phone (772) 571-7782

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL epsilantissean@yahoo.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30400FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Motion Therapeutic Massage,Inc PastSince Aug 23, 2020 Accepting new patients
Advanced Motion Therapeutic Massage, Inc PastSince Aug 23, 2020 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1639780984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12450 91ST ST",
            "city": "FELLSMERE",
            "state": "FL",
            "postal_code": "329485521",
            "telephone_number": "772-571-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603097",
            "telephone_number": "772-567-8585",
            "fax_number": "772-299-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSILANTIS",
        "first_name": "SEAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "30400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "epsilantissean@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ashley@amtvero.com",
            "address_1": "2965 20th St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329603097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.