Sean Dennis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA50496 Issued in CA

Practice address

18411 Clark St Ste 302
Tarzana, CA 91356-3541

Phone

(818) 501-7276

NPI assigned

Mar 21, 2022

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1871242446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 RIVERSIDE DR UNIT 206",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 302",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563541",
            "telephone_number": "818-501-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "SEAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA50496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasan Demir
• Tina Demirchian
• Delphine Joanne Demore, PH.D.
• Dennis a. Casciato, M.D., Inc.
• Frederick Theodore Dennis, M.D.
• Kristi Mae Depew, RADT
• Vicken A Derbalian, D.D.S
• Dermamed Professional Corporation
• Brennan Deslauriers, COTA/L
• Lindsey Heather Desouza

• Physical Therapy Assistant in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.