Active NPI
Sean L Gorman, PT, DPT
- Physical Therapist
- Neptune Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38573
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT38573 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Rehabilitation Clinics - the Beaches | Past | 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.
-
dba CORA Physical Therapy-Stoneybrook
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
dba CORA Physical Therapy - The Beaches
- Rehabilitation Clinic/Center
- Neptune Beach, FL
- NPI 1699074187
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.