NPIMap

Individual provider Active NPI

Sean Phillips, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1962800045
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25299 Issued in MD
Practice address
200 W Cold Spring LN # 300
Baltimore, MD 21210-2831
Phone
(410) 662-7977
NPI assigned
Dec 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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 25299 MD Primary

Addresses

Primary practice location

200 W Cold Spring LN # 300
Baltimore, MD 21210-2831

Mailing address

200 W Cold Spring LN # 300
Baltimore, MD 21210-2831
Phone (410) 662-7977

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
25299MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy First, LLC CurrentSince May 1, 2015 Accepting new patients
First Physical Therapy Network, Inc Physical Therapist Past Accepting new patients

Locations

200 W Cold Spring Ln
Ste 300
Baltimore, MD 21210
Phone (410) 662-7977

200 W Cold Spring Ln
#300
Baltimore, MD 21210
Phone (410) 662-7977

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1962800045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W COLD SPRING LN # 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102831",
            "telephone_number": "410-662-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COLD SPRING LN # 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102831",
            "telephone_number": "410-662-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "SEAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.