MEDICARE: SEAN LAMBERT MCCLUSKIE PT

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
1	225100000X	Physical Therapist	PT02539	RI

General Provider Information

NPI Number	:	1710222740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN LAMBERT MCCLUSKIE PT

Provider Business Mailing Address
First Line	:	250 CENTERVILLE RD 1
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-4400
Country	:	US
Telephone Number	:	401-384-6490
Fax Number	:

Provider Business Practice Location Address
First Line	:	7540 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3901
Country	:	US
Telephone Number	:	401-329-0050
Fax Number	:	401-329-0051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2012
Last Update Date	:	03/30/2026

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