Individual provider Active NPI

Sean Paul O'Leary, MD

  • Physical Medicine & Rehabilitation Physician
  • Pensacola, FL
National Provider Identifier
1720616881
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME168441 Issued in FL
Practice address
1101 Office Woods Dr
Pensacola, FL 32504-5937
Phone
(248) 804-3936
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X ME168441 FL Primary

Addresses

Primary practice location

1101 Office Woods Dr
Pensacola, FL 32504-5937

Mailing address

3713 Rabbit Run CT
Pace, FL 32571-9662
Phone (248) 804-3836

Other practice location 1

14000 Fivay Rd
Hudson, FL 34667-7103
Phone (248) 804-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240621003783 FL Practitioner - Physical Medicine and Rehabilitation 8527501295 Reassigns benefits to 1 organization
Practice locations: Pensacola, FL
I20260226003693 AL Practitioner - Physical Medicine and Rehabilitation 8527501295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1758 Latham St
Birmingham, MI 48009-3043

547 N Monroe St
Tallahassee, FL 32301-0619

PO Box
Suite 43
Swartswood, NJ 07877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
United Spine & Pain PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

222 S Alston St
Foley, AL 36535
Phone (850) 633-4877

547 N Monroe St
Ste 1
Tallahassee, FL 32301

547 N Monroe St
Ste 101
Tallahassee, FL 32301

547 N Monroe St
Tallahassee, FL 32301
Phone (201) 218-5172

Organizations & group practices 1

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1720616881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 RABBIT RUN CT",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719662",
            "telephone_number": "248-804-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OFFICE WOODS DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045937",
            "telephone_number": "248-804-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Fivay Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346677103",
            "country_code": "US",
            "telephone_number": "248-804-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SEAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME168441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.