Active NPI
Sean Davis, PT
- Physical Therapist
- Girard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006422
- Practice address
- 986 Tibbetts Wick Rd
Girard, OH 44420-1138 - Phone
- (330) 306-9651
- NPI assigned
- Feb 12, 2025
- Last updated
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Outpatient Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Howland Infusion Center LLC | Past | Accepting new patients | |
| Patriot Homecare, Inc. | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Patriot Homecare | Home health agency | 5% Or Greater Indirect Ownership Interest (33.3%) | Aug 2, 2024 |
| Patriot Homecare, Inc. | 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 Inc | 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.
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
5% Or Greater Direct Ownership Interest, Corporate Director, General Partnership Interest
-
- Community Based Hospice Care Agency
- Girard, OH
- NPI 1841962537
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
-
dba Patriot Homecare
- Home Health Agency
- Girard, OH
- NPI 1336128610
5% Or Greater Indirect Ownership Interest
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.
-
- Physical Therapist
- Mason, OH
- NPI 1609672658
-
- Infusion Therapy Clinic/Center
- Girard, OH
- NPI 1992311658
-
- Home Infusion Therapy Pharmacy
- Warren, OH
- NPI 1497111272
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.