Selena Belohoubek
Individual provider Active NPI Physical Therapist · Wayne, PA
NPI 1033814256 · NPPES record last updated Apr 5, 2023
Key facts
- NPI
- 1033814256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 215 Sugartown Rd
Wayne, PA 19087-3137 - Phone
- (484) 582-0660
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bounce Back Physical Therapy Inc.
Elite Therapy Solutions, LLC
Practice addresses (Care Compare)
215 Sugartown Rd
Wayne, PA 19087-3137
Phone (484) 582-0660
790 E Market St
Suite 290
West Chester, PA 19382-4891
Phone (610) 696-3305
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230504002925 | PA | Practitioner - Physical Therapist in Private Practice | 2062877590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bounce Back Physical Therapy Inc. | Physical Therapist | Current |
Accepting new patients |
| Bounce Back Physical Therapy Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
215 Sugartown Rd
Wayne, PA 19087
Phone (484) 582-0660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
215 Sugartown Rd
Wayne, PA 19087-3137
Mailing address
389 Brandywine Dr
West Chester, PA 19382-6704
Phone (484) 678-0993
Other providers in Wayne, PA
- Catherine Bateman
- Quanita L Baxter
- Jayna O Becker
- Mariam Bedoidze
- Joanna D Bell
- Zachary Paul Benevides
- Sharon Noel Bentley
- Amy Bergstrom
- David A Bernstein
- Philip E Bernstein
All providers in Wayne, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.