NPIMap

Organization Active NPI

Bluffton Mobile Physical Therapy

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1962170753
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BLUFFTON MOBILE PHYSICAL THERAPY
Practice address
52 Sugar Maple St
Bluffton, SC 29910-7678
Phone
(815) 861-4115
NPI assigned
Sep 6, 2021
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Sean James Neuman, DPTNPI 1750798518
Title
Physical Therapist
Phone
(815) 861-4115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

52 Sugar Maple St
Bluffton, SC 29910-7678

Mailing address

52 Sugar Maple St
Bluffton, SC 29910-7678
Phone (815) 861-4115

Other identifiers 1

IdentifierTypeStateIssuer
1750798518MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930002784 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315344595 Receives reassigned benefits from 9 practitioners
Practice locations: Bluffton, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1962170753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SUGAR MAPLE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107678",
            "telephone_number": "815-861-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 SUGAR MAPLE ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107678",
            "telephone_number": "815-861-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFTON MOBILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-861-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750798518",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.