SEAN TOMA
NPI 1114780806
Physical Therapist in Irvine, CA
About Sean Toma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN TOMA (NPI 1114780806) is an individual physical therapist in Irvine, California and active in the NPI registry since February 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sean Toma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sean Toma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kirkland, WA 98033
- Reassigned Medicare billing, Washington enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sean Toma's NPI number?
The NPI number for Sean Toma is 1114780806. It was assigned to this individual provider in the NPPES registry on February 5, 2024.
Where is Sean Toma located?
Sean Toma practices at 3572 Marin Dr, Irvine, CA 92606. The listed phone number is (949) 422-7863.
What is Sean Toma's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Sean Toma enrolled in Medicare?
Yes. Sean Toma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sean Toma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Toma reassigns Medicare benefits to Lake Washington Physical Therapy LLC (Kirkland, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Toma accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sean Toma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sean Toma was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.