Active NPI
Sean Patrick Easley, PT
- Physical Therapist
- Ft Belvoir, VA
National Provider Identifier
1962486860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010775L
- Practice address
- 9300 Dewitt Loop
Ft Belvoir, VA 22060-5285 - Phone
- (571) 231-2298
- NPI assigned
- Dec 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | PT010775L | PA | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Ft Belvoir, VA 22060-5285
Mailing address
9300 Dewitt Loop
Ft Belvoir, VA 22060-5285
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010775L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1962486860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"city": "FT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "SEAN",
"middle_name": "PATRICK",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-04",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT010775L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.