Individual provider Active NPI

Sean Ronald Repage, PT, DPT

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1790540169
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032101 Issued in PA
Practice address
2020 Ardmore Blvd Ste 130
Pittsburgh, PA 15221-4637
Phone
(412) 271-5000
NPI assigned
Feb 15, 2024
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 PT032101 PA Primary

Addresses

Primary practice location

2020 Ardmore Blvd Ste 130
Pittsburgh, PA 15221-4637

Mailing address

4 Hemingway St
Pittsburgh, PA 15213-1144
Phone (919) 886-8497

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
PT032101PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Network, LLC Physical Therapist PastSince Feb 18, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sean.r.repage@upmcdirect.com

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, 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": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1790540169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HEMINGWAY ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131144",
            "telephone_number": "919-886-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ARDMORE BLVD STE 130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214637",
            "telephone_number": "412-271-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPAGE",
        "first_name": "SEAN",
        "middle_name": "RONALD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.