Active NPI
Sean McLean, DC, PTA
- Physical Therapy Assistant
- Wilmington, NC
National Provider Identifier
1992140180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A6217
- Practice address
- 1011 Porters Neck Rd
Wilmington, NC 28411-9196 - Phone
- (910) 686-7185
- NPI assigned
- May 1, 2013
- Last updated
- Jan 8, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4986 | NC | MD | Chiropractor |
| A6217 | NC | MD | Physical Therapy Assistant |
| 4295 | SC | MD | Acute 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.