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NPI Code Detail

MEDICARE: SEAN THOMAS DPT

MEDICARE: SEAN THOMAS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA02422000NJ
2225200000XPhysical Therapy Assistant008541NY
3225100000XPhysical Therapist039339NY

General Provider Information

NPI Number : 1083054977
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN THOMAS DPT
Provider Business Mailing Address
First Line : 660 EMPIRE BLVD
Second Line : 6C
City : BROOKLYN
State : NY
Zip : 11213-5254
Country : US
Telephone Number : 914-805-1632
Fax Number :
Provider Business Practice Location Address
First Line : 31 NEW DORP LN
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2351
Country : US
Telephone Number : 718-844-5350
Fax Number : 718-979-5236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2013
Last Update Date : 06/09/2026

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Directions to “ SEAN THOMAS DPT” Practice Location

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