Individual provider Active NPI

Sean L Gorman, PT, DPT

  • Physical Therapist
  • Neptune Beach, FL
National Provider Identifier
1659774545
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38573 Issued in FL
Practice address
630 Atlantic Blvd Ste 11
Neptune Beach, FL 32266-4003
Phone
(904) 249-2358
NPI assigned
Oct 6, 2014
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38573 FL Primary
Physical Therapist 225100000X 2305209063 VA

Addresses

Primary practice location

630 Atlantic Blvd Ste 11
Neptune Beach, FL 32266-4003

Mailing address

1598 Country Walk Dr
Fleming Island, FL 32003-8669
Phone (804) 212-7285

Other practice location 1

2500 N Van Dorn St
Suite 104
Alexandria, VA 22302-1626
Phone (703) 933-1700

Other practice location 2

119 The Plains Rd Ste 100
Middleburg, VA 20117-2691
Phone (540) 687-8181

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
PT38573FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc PastSince Jul 17, 2022 Accepting new patients
Cora Rehabilitation Clinics - the Beaches PastSince Jul 17, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1659774545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1598 COUNTRY WALK DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038669",
            "telephone_number": "804-212-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ATLANTIC BLVD STE 11",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322664003",
            "telephone_number": "904-249-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Van Dorn St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223021626",
            "country_code": "US",
            "telephone_number": "703-933-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 The Plains Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "VA",
            "postal_code": "201172691",
            "country_code": "US",
            "telephone_number": "540-687-8181",
            "fax_number": "540-687-8256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SEAN",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38573",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.