Individual provider Active NPI

Sean McLean, DC, PTA

  • Physical Therapy Assistant
  • Wilmington, NC
National Provider Identifier
1992140180
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A6217 Issued in NC
Practice address
1011 Porters Neck Rd
Wilmington, NC 28411-9196
Phone
(910) 686-7185
NPI assigned
May 1, 2013
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4986 NC
Physical Therapy Assistant 225200000X A6217 NC Primary

Addresses

Primary practice location

1011 Porters Neck Rd
Wilmington, NC 28411-9196

Mailing address

1302 Canal Dr
Carolina Beach, NC 28428-5923
Phone (808) 347-1349

Other practice location 1

6650 N Maroa Ave Apt 133
Fresno, CA 93704-1251
Phone (808) 347-0185

Other practice location 2

800 25th Ave S Ste A
North Myrtle Beach, SC 29582-4320
Phone (808) 347-0185

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
4986NCMDChiropractor
A6217NCMDPhysical Therapy Assistant
4295SCMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1992140180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 CANAL DR",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285923",
            "telephone_number": "808-347-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PORTERS NECK RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119196",
            "telephone_number": "910-686-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 N Maroa Ave Apt 133",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937041251",
            "country_code": "US",
            "telephone_number": "808-347-0185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 25th Ave S Ste A",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295824320",
            "country_code": "US",
            "telephone_number": "808-347-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "SEAN",
        "credential": "DC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4986",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.