Individual provider Active NPI

Shirlee Sue Seaton, P.T.

  • Physical Therapist
  • Portales, NM
National Provider Identifier
1750498002
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1377 Issued in NM
Practice address
1429 S Avenue D
Portales, NM 88130-6837
Phone
(505) 356-4888
Fax
(505) 359-3108
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 1377 NM Primary

Addresses

Primary practice location

1429 S Avenue D
Portales, NM 88130-6837

Mailing address

1612 S Main Ave
Portales, NM 88130-7331
Phone (505) 356-1631

Other identifiers 4

IdentifierTypeStateIssuer
PROVP16520OtherNMMOLINA ID
2387OtherNMLOVELACE ID
006OtherNMHCH ID
NM00Q005OtherNMBLUE CROSS ID

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

Practice roles

OrganizationSpecialtyStatusNew patients
Special Needs Consulting LLC CurrentSince Nov 1, 2013 Accepting new patients
Therapy Services Associates, Professional Corp Past Accepting new patients

Locations

227 N Main St
Roswell, NM 88201
Phone (575) 420-9380

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1750498002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S MAIN AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881307331",
            "telephone_number": "505-356-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 S AVENUE D",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306837",
            "telephone_number": "505-356-4888",
            "fax_number": "505-359-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "SHIRLEE",
        "middle_name": "SUE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA ID",
            "identifier": "PROVP16520",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE ID",
            "identifier": "2387",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCH ID",
            "identifier": "006",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "NM00Q005",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.