Sean J Nick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021068 Issued in OH

Practice address

2579 Walter Green CMNS
Madison, OH 44057-2449

Phone

(440) 466-5447

Fax

(440) 466-5455

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Toledo College of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seeds Orthopaedics, Inc.Group PAC ID 1850389461, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Seeds Orthopaedics, Inc

  • Orthopaedic Surgery Physician
  • Ashtabula, OH
  • NPI 1023010881
  Medicare reassignment Care Compare group NPD
• All Star Physical Therapy Inc

  • Physical Therapist
  • Ashtabula, OH
  • NPI 1124347737
  NPD (past)

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1891530234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 27TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044975",
            "telephone_number": "440-650-1884",
            "fax_number": "440-997-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2579 WALTER GREEN CMNS",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572449",
            "telephone_number": "440-466-5447",
            "fax_number": "440-466-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440044975",
            "country_code": "US",
            "telephone_number": "440-650-1884",
            "fax_number": "440-997-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICK",
        "first_name": "SEAN",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dahlia Ruth Nahon, MD
• New Avenues to Independence, Inc. (New Avenues-Perry)
• Kymberly Ann Nicholas, D.P.T.
• Lori Ann Nicholson, LPN
• Nick J Donch
• North Coast Optical
• Ruth Ann North
• Northern Dental Specialists, Dr. Steven W Gajda
• Sherrie Northrup, AT
• Michele Lee Nusker, CDCA

• Physical Therapist in Madison, OH
• Providers in Madison, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.