Sean Phillips

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214168 Issued in VA

Practice address

5255 Alexander Rd
Dublin, VA 24084-3657

Phone

(540) 307-4249

Fax

(540) 674-4094

NPI assigned

Dec 2, 2019

Last updated

Feb 19, 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)

Not enrolled

State licenses

Practice roles

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.

• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Daleville, VA
  • NPI 1104330190
  NPD (past)
• University Physical Therapy Limited Partnership

  • Physical Therapist
  • Dublin, VA
  • NPI 1477984177
  NPD (past)

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1851938542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DAVIS ST STE B",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607009",
            "telephone_number": "540-307-4249",
            "fax_number": "540-674-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 ALEXANDER RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240843657",
            "telephone_number": "540-307-4249",
            "fax_number": "540-674-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-02",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045258",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214168",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "P103233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Valley Counseling, LLC
• Joshua Pennington, DMD
• Carrie Pettus, PHARMD
• Skyler Petty, OT
• Amy T Phillips
• Audrea Carole Pratt, DDS
• Premise Health of Virginia Medical PC (Volvo - Dublin)
• Lindsay Pugh, OT
• Pulaski Adult Day Service & Fall Prevention Center, Inc.
• Pulaski County Board of Supervisors (Pulaski County Public Safety)

• Physical Therapist in Dublin, VA
• Providers in Dublin, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.