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

Sean Joseph Scully, DPT

Individual provider Physical Therapist · NPI 1679056444

Sean Joseph Scully, DPT is a Physical Therapist in Private Practice in Peoria, Arizona. Qualified in 2020, 6 years ago. Practices with Anb-Ptsma Holdings Inc, a 184-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
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

9784 W Yearling Rd Unit 1520
Peoria, AZ 85383-1379
Phone: (623) 412-2117
Fax: (623) 412-2118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence LPT-30300 (AZ)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1679056444
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 7, 2018
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address41125 N Daisy Mountain Dr Ste 121, Phoenix, AZ 85086-4964

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anb-Ptsma Holdings Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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