Sean Joseph Scully, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

LPT-30300 Issued in AZ

Practice address

9784 W Yearling Rd Unit 1520
Peoria, AZ 85383-1379

Phone

(623) 412-2117

Fax

(623) 412-2118

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anb-Ptsma Holdings, Inc.

  dba Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  Medicare reassignment Care Compare group NPD
• Orthopedic & Sport Rehab Specialists at Anthem, LLC

  • Physical Therapist
  • Anthem, AZ
  • NPI 1821109356
  Medicare reassignment NPD
• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1114921871
  NPD (past)
• Vibrantcare Outpatient Rehabilitation West Inc

  dba VibrantCare Outpatient Rehabilitation - Tucson East

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1699779223
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1679056444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41125 N DAISY MOUNTAIN DR STE 121",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864964",
            "telephone_number": "480-265-2132",
            "fax_number": "623-551-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD UNIT 1520",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-412-2117",
            "fax_number": "623-412-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "SEAN",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-30300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Schwartz, DPT
• Ronald Michael Schwartz, D.O.
• Steven Michael Schwartz, FNP-C
• Scott Robert Jackson DDS PC
• Chelsea Scott
• Kara E Seabrook, PA-C
• Elizabeth Sears
• Karla Ann Sears, LPC
• David R Sease, MD
• See Optical

• Physical Medicine & Rehabilitation Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.