SEAN WHITMORE – Physical Therapist, NPI 1124740964

SEAN WHITMORE is a healthcare provider. based in Lees summit, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2022030949 (MO). The NPI Number for SEAN WHITMORE is 1124740964

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
SEAN WHITMORE
NPI
1124740964
Phone
Not provided
Address
628 NE ADAMS DR
Enumeration Date
19 September 2022
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162728538
Graduation Year
2022 (4 years ago)
PAC ID
6608243589
Group Practice PAC ID
8921171604
Professional Enrollment ID
I20221107000292
Address ID
MO640642379LE2861XAVEX427
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for SEAN WHITMORE

  • 628 NE ADAMS DR

    LEES SUMMIT, MO 640866259

    Phone:

    Type: Mailing

  • 401 NW MURRAY RD

    LEES SUMMIT, MO 640811425

    Phone: (816) 944-4244

    Fax: (816) 944-4245

    Type: Location

  • 22120 MIDLAND DR STE 1

    SHAWNEE, KS 662263554

    Phone:

    Type: Mailing

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: 2022-11-07

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
I20221107000292IPhysical Therapist In Private PracticeMOTBD

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 64086)

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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: 8921171604View full group profile

Reviews

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Frequently asked questions

Can I cross-check SEAN WHITMORE using NPI 1124740964?
NPI 1124740964 belongs to SEAN WHITMORE; compare other details if you need extra assurance.
Is SEAN WHITMORE still an active registrant?
SEAN WHITMORE carries an active NPI according to the public dataset.
How would a patient describe SEAN WHITMORE's focus?
For SEAN WHITMORE, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SEAN WHITMORE located near Lees Summit?
SEAN WHITMORE currently maps to Lees Summit, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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