Individual provider Active NPI

Sean Michael McKeown, PHYSICAL THERAPIST

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1902881881
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15979 Issued in CA
Practice address
4060 4TH Ave
#105
San Diego, CA 92103-2116
Phone
(619) 299-5246
Fax
(619) 299-5751
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 PT15979 CA Primary

Addresses

Primary practice location

4060 4TH Ave
#105
San Diego, CA 92103-2116

Mailing address

317 N El Camino Real
Ste 210 760-634-0248
Encinitas, CA 92024-2811
Phone (760) 634-0248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15979CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Dec 8, 2022 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Oct 1, 1999 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Dec 8, 2022 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

Locations

2245 Camino Vida Roble
Ste 103
Carlsbad, CA 92011
Phone (760) 683-8959

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

3130 Bonita Rd
Ste 100
Chula Vista, CA 91910
Phone (619) 422-5315

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

1663 Greenfield Dr
El Cajon, CA 92021
Phone (619) 401-7913

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

2650 Camino del Rio N
Ste 200
San Diego, CA 92108
Phone (619) 295-3000

4435 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 578-8669

4060 4th Ave
Ste 206
San Diego, CA 92103
Phone (619) 297-0014

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

8975 S Pecos Rd
Ste 7A
Henderson, NV 89074
Phone (702) 456-2024

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787

305 N Nellis Blvd
Ste 135
Las Vegas, NV 89110
Phone (702) 438-3188

2445 Fire Mesa St
Ste 150
Las Vegas, NV 89128
Phone (702) 869-6978

2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

3870 W Ann Rd
Ste 110
North Las Vegas, NV 89031
Phone (702) 396-7100

720 Robb Dr
Ste 103
Reno, NV 89523
Phone (775) 787-3733

Organizations & group practices 7

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1902881881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "STE 210 760-634-0248",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-634-0248",
            "fax_number": "760-634-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "#105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-299-5246",
            "fax_number": "619-299-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.