Individual provider Active NPI

Sean Lakten

  • Physical Therapist
  • Parkersburg, WV
National Provider Identifier
1770207292
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000846 Issued in WV
Practice address
417 Grand Park Dr
Parkersburg, WV 26105-0002
Phone
(304) 422-9293
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 000846 WV Primary

Addresses

Primary practice location

417 Grand Park Dr
Parkersburg, WV 26105-0002

Mailing address

27 Mustang Acres
Parkersburg, WV 26104-8040
Phone (304) 488-9192

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktop/tablet

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

State licenses

LicenseStateTypeSpecialty
000846WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1770207292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MUSTANG ACRES",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048040",
            "telephone_number": "304-488-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261050002",
            "telephone_number": "304-422-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKTEN",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "417 Grand Park Dr",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261050002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.