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

Sean Macko

Individual provider Physical Therapist · NPI 1811470545

Sean Macko is a Physical Therapist in Private Practice in Dallas, Georgia. Qualified in 2018, 8 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

80 Seven Hills Blvd Ste 107
Dallas, GA 30132-0575
Phone: (678) 402-0515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013669 (GA)

Record details

NPI number1811470545
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2018
Last updated in NPPESSeptember 10, 2018
Mailing addressPo Box 724557, Atlanta, GA 31139-1557

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 Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Dallas