Sean C Jonick (NPI# 1417510041, PAC ID# 5395079313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1417510041 |
| PAC ID by PECOS | 5395079313 |
| Professional Enrollment ID | I20190625003773 |
| Full Name | Sean C Jonick |
| Organization Legal Name | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Address |
1827 Wells St Suite 2 Wailuku HI 96793-2370 |
| Phone Number | 8082440077 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 5799788808 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 | 8082440077 | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Organization Legal Name | SOUTH SHORE PHYSICAL THERAPY AND SPORTSMEDICINE INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Colin Fuqua | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Leda S Jellum | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Scott R Smith | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Elizabeth Barrett | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Alayna R Betsill | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Matthew R Kociuba | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Pedro R Ferrer | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Tiffany G Prangnell | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Kelly Lynn Mccormick | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Street Address |
1827 WELLS ST SUITE 2 |
| City | WAILUKU |
| State | HI |
| Zip | 96793-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott R Smith | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Tanya Dawn Hudson | Occupational Therapy | Southshore Physical Therapy and Sportsmedicine | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | WAILUKU + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Sean C Jonick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.