Individual provider Active NPI

Sean Kevin McGarrity, PT DPT

  • Physical Therapist
  • Angola, NY
National Provider Identifier
1992883342
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0102001 Issued in NY
Practice address
Angola Physical Therapy, P.C.
8505 Erie Rd.
Angola, NY 14006-9703
Phone
(716) 549-1099
Fax
(716) 549-2293
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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 0102001 NY Primary

Addresses

Primary practice location

Angola Physical Therapy, P.C.
8505 Erie Rd.
Angola, NY 14006-9703

Mailing address

Angola Physical Therapy, P.C.
8505 Erie Rd.
Angola, NY 14006-9703
Phone (716) 549-1099

Other identifiers 1

IdentifierTypeStateIssuer
01916265MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000010 NY Practitioner - Physical Therapist in Private Practice 2062464951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8505 Erie Rd
Angola, NY 14006-9703
Phone (716) 549-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0102001NYMDPhysical Therapist

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1992883342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ANGOLA PHYSICAL THERAPY, P.C.",
            "address_2": "8505 ERIE RD.",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069703",
            "telephone_number": "716-549-1099",
            "fax_number": "716-549-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANGOLA PHYSICAL THERAPY, P.C.",
            "address_2": "8505 ERIE RD.",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069703",
            "telephone_number": "716-549-1099",
            "fax_number": "716-549-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARRITY",
        "first_name": "SEAN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0102001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01916265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.