Individual provider Active NPI

Daniel J Sellon, MPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1073611638
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1336 Issued in NE
Practice address
1601 N 86TH St
Ste 300
Lincoln, NE 68505-3713
Phone
(402) 327-7515
Fax
(402) 327-7513
NPI assigned
Sep 20, 2006
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1336 NE Primary

Addresses

Primary practice location

1601 N 86TH St
Ste 300
Lincoln, NE 68505-3713

Mailing address

PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 382-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000481 NE Practitioner - Physical Therapist in Private Practice 0345247797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

2510 S 40TH St
Suite 200
Lincoln, NE 68506-2411
Phone (402) 486-3333

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
89.57
Improvement activities
40
Cost
71.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1336NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Go Physical Therapy, LLC Physical Therapist CurrentSince Apr 30, 2017 Accepting new patients
The Physician Network CurrentSince Apr 30, 2017 Accepting new patients

Locations

2683 Solution Ctr
Chicago, IL 60677

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

1601 N 86th St
Ste 300
Lincoln, NE 68505
Phone (402) 327-7515

2000 Q St
Ste 500
Lincoln, NE 68503
Phone (402) 421-0896

2510 S 40th St
Ste 200
Lincoln, NE 68506
Phone (402) 486-3333

4001 O St
Lincoln, NE 68510
Phone (402) 817-0834

4055 Yankee Hill Rd
Lincoln, NE 68516
Phone (402) 328-6300

4740 N 27th St
Ste 2
Lincoln, NE 68521
Phone (402) 742-8410

7121 Stephanie Ln
Ste 105
Lincoln, NE 68516
Phone (402) 484-8383

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1073611638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-382-0344",
            "fax_number": "308-382-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N 86TH ST",
            "address_2": "STE 300",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685053713",
            "telephone_number": "402-327-7515",
            "fax_number": "402-327-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLON",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "1336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.