Sean Patrick Walsh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015634 Issued in GA

Practice address

212 Retreat VLG
St Simons Is, GA 31522-2403

Phone

(912) 638-1444

Fax

(912) 638-0077

NPI assigned

Oct 1, 2018

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anb-Ptsma Holdings, Inc.

  dba Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
  • NPI 1659453371
  NPD
• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  NPD
• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD (past)
• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  NPD (past)
• Orthosc, LLC

  • Orthopaedic Surgery Physician
  • North Myrtle Beach, SC
  • NPI 1568100691
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1821573320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RETREAT VLG",
            "city": "ST SIMONS IS",
            "state": "GA",
            "postal_code": "315222403",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgton",
            "state": "ME",
            "postal_code": "040091167",
            "country_code": "US",
            "telephone_number": "207-647-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5138",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Strong
• Kaitlyn Teston
• Louis Michael Henry Thomas, PHARMD
• Scott A. Trefts, O.D.
• Mikayla Trombley

• Physical Therapist in St Simons Is, GA
• Providers in St Simons Is, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.