Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sean Patrick Bouthilette, DPT

Individual provider Physical Therapist · NPI 1871078386

Dr. Sean Patrick Bouthilette, DPT is a Physical Therapist in Private Practice in Greensboro, North Carolina. Qualified in 2018, 8 years ago. Practices with Mediq Physical Therapy, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
8
Licensed in
NC, VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5716 W Gate City Blvd
Greensboro, NC 27407-7039
Phone: (336) 600-9930
Fax: (336) 600-9960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 204 Matthews Dr, Holly Springs, NC 27540-4302 — (919) 578-4200

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P21138 (NC)
Physical Therapist Taxonomy 225100000X · Licence 2305212305 (VA)

Record details

NPI number1871078386
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 1, 2018
Last updated in NPPESAugust 10, 2025
Certification dateAugust 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mediq Physical Therapy — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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