Individual provider Active NPI

Sean A Waistell, P.T.

  • Physical Therapist
  • Atascadero, CA
National Provider Identifier
1891897641
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29176 Issued in CA
Practice address
10800 Colorado Rd
Atascadero, CA 93422-5708
Phone
(805) 980-8487
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT29176 CA Primary

Addresses

Primary practice location

10800 Colorado Rd
Atascadero, CA 93422-5708

Mailing address

10800 Colorado Rd
Atascadero, CA 93422-5708
Phone (805) 980-8487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000793 CA Practitioner - Physical Therapist in Private Practice 5597761841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians
FWTW Inc.Group PAC ID 2264582576, 6 clinicians

Practice addresses (Care Compare)

24441 Calle Sonora
Laguna Woods, CA 92637-7714
Phone (949) 243-5710

500 Quintana Rd
Morro Bay, CA 93442-1938
Phone 8054418406204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29176CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
FWTW Inc. CurrentSince May 1, 2011 Accepting new patients
Active Physical Therapy, Inc Physical Therapist CurrentSince Feb 2, 2022 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Sep 30, 2025 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Sep 30, 2025 Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

500 Quintana Rd
Morro Bay, CA 93442
Phone (805) 441-8406

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

5075 S Bradley Rd
Ste 121
Santa Maria, CA 93455
Phone (805) 878-7743

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 4

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1891897641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 COLORADO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225708",
            "telephone_number": "805-980-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 COLORADO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225708",
            "telephone_number": "805-980-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAISTELL",
        "first_name": "SEAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.