Active NPI
Sean Phelan
- Physical Therapist
- Binghamton, NY
National Provider Identifier
1699600320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 055919
- Practice address
- 169 Riverside Dr
Binghamton, NY 13905-4246 - Phone
- (607) 798-5255
- Fax
- (607) 798-5192
- NPI assigned
- Jun 15, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 055919 | NY | Primary |
Addresses
Primary practice location
169 Riverside Dr
Binghamton, NY 13905-4246
Mailing address
149 S Broad St
Norwich, NY 13815-1746
Phone (607) 244-6701
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1699600320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 S BROAD ST",
"city": "NORWICH",
"state": "NY",
"postal_code": "138151746",
"telephone_number": "607-244-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246",
"telephone_number": "607-798-5255",
"fax_number": "607-798-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "SEAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "055919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.