Individual provider Active NPI

Sean A Regan, P.T.

  • Physical Therapist
  • Richlandtown, PA
National Provider Identifier
1831574912
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016361 Issued in PA
Practice address
108 S Main St
Richlandtown, PA 18955-1048
Phone
(267) 371-4573
NPI assigned
Jul 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016361 PA Primary
Geriatric Physical Therapist 2251G0304X PT016361 PA

Addresses

Primary practice location

108 S Main St
Richlandtown, PA 18955-1048

Mailing address

108 South Main Street
Richlandtown, PA 18955
Phone (267) 371-4573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002698 PA Practitioner - Physical Therapist in Private Practice 5597067728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016361PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Corporate & Community Based Services CurrentSince Aug 1, 2015 Accepting new patients
Phoebe Corporate and Community Based Services Inc CurrentSince Aug 1, 2015 Accepting new patients

Locations

1925 W Turner St
Allentown, PA 18104
Phone (610) 794-5075

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1831574912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTH MAIN STREET",
            "city": "RICHLANDTOWN",
            "state": "PA",
            "postal_code": "18955",
            "telephone_number": "267-371-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "RICHLANDTOWN",
            "state": "PA",
            "postal_code": "189551048",
            "telephone_number": "267-371-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "SEAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016361",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT016361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlandtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.