SEAN MCNULTY (DPT) – Physical Therapist, NPI 1053988386

SEAN MCNULTY (DPT) is a healthcare provider. based in Carmel, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 05009625A (IN). The NPI Number for SEAN MCNULTY (DPT) is 1053988386

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
SEAN MCNULTY (DPT)
NPI
1053988386
Phone
Not provided
Address
4516 BROOKSHIRE PKWY
Enumeration Date
7 June 2021
Last Update Date
7 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173356939
Graduation Year
2008 (18 years ago)
PAC ID
2769885680
Group Practice PAC ID
1850205162
Professional Enrollment ID
I20210729000509
Address ID
IN460556231MC8505XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for SEAN MCNULTY (DPT)

  • 4516 BROOKSHIRE PKWY

    CARMEL, IN 460333302

    Phone:

    Type: Mailing

  • 8505 N. CLEARVIEW DRIVE

    MCCORDSVILLE, IN 46055

    Phone: (317) 335-6919

    Fax: (317) 335-5038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210729000509IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850205162View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
-IN
-IN
Occupational Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
-IN
-IN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What identifier follows SEAN MCNULTY (DPT) across health systems?
The NPI 1053988386 uniquely identifies SEAN MCNULTY (DPT) in U.S. healthcare data.
Does the public listing show SEAN MCNULTY (DPT) as active?
SEAN MCNULTY (DPT)'s NPI record reflects an active status in NPPES.
What services align with SEAN MCNULTY (DPT)'s listing?
SEAN MCNULTY (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SEAN MCNULTY (DPT) tied to Carmel, Indiana?
If you are local to Carmel, Indiana, SEAN MCNULTY (DPT) may be relevant to your search.
Why is information missing for SEAN MCNULTY (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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