Individual provider Active NPI

Sean Robert St. Jacques, DPT

  • Physical Therapist
  • Cary, NC
National Provider Identifier
1720914815
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P25085 Issued in NC
Practice address
1010 High House Rd Ste 105
Cary, NC 27513-3576
Phone
(919) 473-6020
Fax
(919) 238-9982
NPI assigned
Jun 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P25085 NC Primary

Addresses

Primary practice location

1010 High House Rd Ste 105
Cary, NC 27513-3576

Mailing address

1010 High House Rd Ste 105
Cary, NC 27513-3576
Phone (919) 473-6020

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": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1720914815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133576",
            "telephone_number": "919-473-6020",
            "fax_number": "919-238-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HIGH HOUSE RD STE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133576",
            "telephone_number": "919-473-6020",
            "fax_number": "919-238-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JACQUES",
        "first_name": "SEAN",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P25085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.