DR. SEAN JEFFREY (PT, DPT) – Physical Therapist, NPI 1174040406

DR. SEAN JEFFREY (PT, DPT) is a healthcare provider. based in Freeport, Maine. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT4871 (ME). The NPI Number for DR. SEAN JEFFREY (PT, DPT) is 1174040406

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN JEFFREY (PT, DPT)
NPI
1174040406
Phone
(401) 440-7784
Address
135 GRANT RD
Enumeration Date
28 August 2017
Last Update Date
9 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077254400
Graduation Year
2017 (9 years ago)
PAC ID
2961775143
Group Practice PAC ID
7214239540
Professional Enrollment ID
I20170911001178
Address ID
ME040866186TO439XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME

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Provider Addresses for DR. SEAN JEFFREY (PT, DPT)

  • 135, Grant Road, Freeport, Cumberland County, Maine, 04032, United States

    FREEPORT, ME 040325831

    Phone: (401) 440-7784

    Mailing address matches the actual address.

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: 2017-09-11

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
I20170911001178IPhysical Therapist In Private PracticeMETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities36631$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33827$0
97140Therapy procedure using manual technique, each 15 minutes19623$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10822$0
97164Re-evaluation for physical therapy, typically 20 minutes3114$0
View full utilization report →

Insurance plans in this area (ZIP 04032)

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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: 7214239540View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeME
-CA
Physical Therapist In Private PracticeNH
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME
-ME

Reviews

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Frequently asked questions

Does DR. SEAN JEFFREY (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. SEAN JEFFREY (PT, DPT) uses 1174040406.
Does the file indicate DR. SEAN JEFFREY (PT, DPT) is practicing under active NPI?
Directory data currently reports DR. SEAN JEFFREY (PT, DPT) as active.
What is DR. SEAN JEFFREY (PT, DPT)'s specialty?
The listing groups DR. SEAN JEFFREY (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does DR. SEAN JEFFREY (PT, DPT) serve?
DR. SEAN JEFFREY (PT, DPT)'s listing highlights Freeport, Maine; more addresses can appear in NPPES.
Why does DR. SEAN JEFFREY (PT, DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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