Individual provider Active NPI

Charlotte Ellen Selters

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1013690635
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26999 Issued in MA
Practice address
1100 Washington St Ste 200
Dorchester, MA 02124-5538
Phone
(857) 267-4696
Fax
(857) 267-4695
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26999 MA Primary
Physical Therapist 225100000X P24794 NC

Addresses

Primary practice location

1100 Washington St Ste 200
Dorchester, MA 02124-5538

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Other practice location 1

500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 258-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230828002801 MA Practitioner - Physical Therapist in Private Practice 9537522388
I20260414001593 NC Practitioner - Physical Therapist in Private Practice 9537522388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

500 Village Walk Dr
Holly Springs, NC 27540-4440
Phone (919) 258-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26999MAMDPhysical Therapist
P24794NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Aug 9, 2023 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Aug 9, 2023 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients

Locations

340 Wood Rd
Ste 303
Braintree, MA 02184
Phone (781) 535-6053

325 Wood Rd
Ste 108
Braintree, MA 02184
Phone (781) 535-6053

1100 Washington St
Ste 200
Dorchester, MA 02124
Phone (857) 267-4696

1100 Washington St
Ste 200201
Dorchester, MA 02124
Phone (857) 267-4696

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1013690635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WASHINGTON ST STE 200",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245538",
            "telephone_number": "857-267-4696",
            "fax_number": "857-267-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Village Walk Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275404440",
            "country_code": "US",
            "telephone_number": "919-258-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELTERS",
        "first_name": "CHARLOTTE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26999",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.