SEAN PATRICK SMITH P.T.
NPI 1285927780
Physical Therapist - Neurology in Massapequa Park, NY
NPI Status: Active since May 17, 2011
Contact Information
177 ABBEY STREET
MASSAPEQUA PARK, NY
ZIP 11762
Phone: (516) 809-5721
- Individual
- Male
- Years of Experience 24
- Physical Therapist
- Neurology
- Accepts Medicare Approved Payment
About SEAN SMITH
This page provides the complete NPI Profile along with additional information for Sean Smith, a provider established in Massapequa Park, New York with a medical specialization in Physical Therapist, focusing in neurology and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1285927780 assigned on May 2011. The practitioner's primary taxonomy code is 2251N0400X with license number 024573 (NY). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1285927780
- Provider Name
- SEAN PATRICK SMITH P.T.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 177 ABBEY STREET MASSAPEQUA PARK, NY 11762
- Location Phone
- (516) 809-5721
- Mailing Address
- 177 ABBEY STREET MASSAPEQUA PARK, NY 11762
- Mailing Phone
- (516) 809-5721
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2011
- Last Update Date
- 05-17-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Neurology
- Taxonomy Code
- 2251N0400X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 024573
- License State
- NY
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 024573 (NY) |
| 2 | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 024573 (NY) |
Medicare Participation & PECOS Enrollment Status
Sean Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5698207272
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20241021003129
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 9 | 2 | 7 | 7 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 18 | 2 | 14 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 8 + 2 + 1 + 4 + 7 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1285927780 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285927780, enumerated in the NPI registry as an "individual" on May 17, 2011
The provider is located at 177 Abbey Street Massapequa Park, Ny 11762 and the phone number is (516) 809-5721
The provider's speciality is Physical Therapist with taxonomy code 2251N0400X with a focus in Neurology
The provider has more than 24 years of experience.
This NPI record was last updated on May 17, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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