Maria Lourdes Clarin Sequito, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05012422A Issued in IN

Practice address

3008 Shawnee Dr S
Bedford, IN 47421-5282

Phone

(812) 329-3799

NPI assigned

Nov 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1831602366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 MICHAEL AVE APT 740",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SHAWNEE DR S",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215282",
            "telephone_number": "812-329-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUITO",
        "first_name": "MARIA LOURDES",
        "middle_name": "CLARIN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012422A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric V Schulz, MD
• Sean Scroggins, LMHC
• John Paul Sears, OTR, PTA
• Select Physical Therapy Holdings, Inc.
• Lauren Selo, PHARMD
• Hojjat Shamloo, MD
• Carrollynn Sharp, LMHC-A, LCAC-A
• Joan Louise Shewell, RNC WHNP
• Jennifer Shipman, RBT
• Rafi U Siddiqi, MD

• Physical Therapist in Bedford, IN
• Providers in Bedford, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.