Active NPI
Sean Patrick Sumner, M.P.T.
- Contractor
- Fresno, CA
National Provider Identifier
1952523847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT 30042
- Practice address
- 1578 E Shea Dr
Fresno, CA 93720 - Phone
- (559) 905-6358
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | PT 30042 | CA | Primary |
Addresses
Primary practice location
1578 E Shea Dr
Fresno, CA 93720
Mailing address
1578 E Shea Dr
Fresno, CA 93720
Phone (559) 905-6358
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30042 | CA | MD | Counseling Psychologist |
| PT 30042 | CA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essent PRMC LP | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1952523847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 E SHEA DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-905-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 E SHEA DR",
"city": "FRESNO",
"state": "CA",
"postal_code": "93720",
"telephone_number": "559-905-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "SEAN",
"middle_name": "PATRICK",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "PT 30042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.