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

Sean Noonan, DPT

Individual provider Physical Therapist · NPI 1063889400

Sean Noonan, DPT is a Physical Therapist in Private Practice in Fayetteville, North Carolina. Graduated from State University of Ny Upstate Medical University in 2015, 11 years ago. Practices with Moochler Physical Therapy PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2015
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

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3773
Phone: (910) 484-4653
Fax: (910) 483-9256
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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 039246-1 (NY)

Record details

NPI number1063889400
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 1, 2015
Last updated in NPPESAugust 30, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Moochler Physical Therapy Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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