DR. SEAN THOMAS PT,DPT
NPI 1902173800
Physical Therapist - Geriatrics in Lewes, DE

NPI Status: Active since November 19, 2011

Contact Information

19697 MARIMAR CT
LEWES, DE
ZIP 19958
Phone: (973) 517-3652

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  • Individual
  • Male
  • Years of Experience 15
  • Physical Therapist
  • Geriatrics
  • Accepts Medicare Approved Payment

About SEAN THOMAS

This page provides the complete NPI Profile along with additional information for Sean Thomas, a provider established in Lewes, Delaware with a medical specialization in Physical Therapist, focusing in geriatrics and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1902173800 assigned on November 2011. The practitioner's primary taxonomy code is 2251G0304X with license number J1-0003390 (DE). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1902173800
Provider Name
DR. SEAN THOMAS PT,DPT
Gender
Male
Entity Type
Individual
Location Address
19697 MARIMAR CT LEWES, DE 19958
Location Phone
(973) 517-3652
Mailing Address
19697 MARIMAR CT LEWES, DE 19958
Mailing Phone
(973) 517-3652
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
Yes
Enumeration Date
11-19-2011
Last Update Date
08-08-2023
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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 Geriatrics

Taxonomy Code
2251G0304X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
J1-0003390
License State
DE
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Medicare Participation & PECOS Enrollment Status

Sean Thomas 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: 2961856281

    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: I20230920002746

    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.
1902173800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290227680
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 7 + 6 + 8 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1902173800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

W.A.V.E. PHYSICAL THERAPY LLC

Physical Therapist

19697 MARIMAR CT
LEWES, DE
ZIP 19958

(973) 517-3652

DR. DAWNN THOMAS OT

Occupational Therapist

19697 MARIMAR CT
LEWES, DE
ZIP 19958

(631) 275-7580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902173800, enumerated as an "individual" on November 19, 2011.

The provider is located at 19697 MARIMAR CT LEWES, DE 19958 and the phone number is (973) 517-3652.

Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.