Individual provider Active NPI

Sean Davis, PT

  • Physical Therapist
  • Girard, OH
National Provider Identifier
1902611270
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006422 Issued in OH
Practice address
986 Tibbetts Wick Rd
Girard, OH 44420-1138
Phone
(330) 306-9651
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 PT006422 OH Primary

Addresses

Primary practice location

986 Tibbetts Wick Rd
Girard, OH 44420-1138

Mailing address

986 Tibbetts Wick Rd
Girard, OH 44420-1138
Phone (330) 306-9651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414000941 OH Practitioner - Physical Therapist in Private Practice 6103003892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Outpatient Therapy, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
Howland Infusion Center LLC PastSince Sep 1, 2018 Accepting new patients
Patriot Homecare, Inc. PastSince Mar 18, 2011 Accepting new patients

Locations

986 Tibbetts Wick Rd
Girard, OH 44420
Phone (330) 306-9651

986 Tibbetts Wick Rd
Bldg 2
Girard, OH 44420
Phone (330) 919-9575

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patriot HomecareCincinnati, OH, CCN 368079 Home health agency 5% Or Greater Indirect Ownership Interest (33.3%) Aug 2, 2024
Patriot Homecare, Inc.Girard, OH, CCN 368406 Home health agency 5% Or Greater Direct Ownership Interest
General Partnership Interest
Corporate Director
Mar 18, 2011
Mar 18, 2011
Mar 18, 2011
Patriot Hospice IncGirard, OH, CCN 361728 Hospice 5% Or Greater Direct Ownership Interest (33.34%)
Corporate Officer
W-2 Managing Employee (33.3%)
Sep 15, 2021
Sep 15, 2021
Sep 14, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1902611270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-306-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 TIBBETTS WICK RD",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201138",
            "telephone_number": "330-306-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT006422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.