Individual provider Active NPI

Lisa Selby Silverstein, PT, PHD, NCS

  • Physical Therapist
  • Mount Holly, NJ
National Provider Identifier
1083786347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
300 Campus Dr Ste a
RR# 30
Mount Holly, NJ 08060-9604
Phone
(609) 261-3434
Fax
(609) 261-8632
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NJ Primary

Addresses

Primary practice location

300 Campus Dr Ste a
RR# 30
Mount Holly, NJ 08060-9604

Mailing address

12 Friar Tuck Dr
Medford, NJ 08055-8542
Phone (609) 714-1236

Other names 1

  • Dr. Lisa Selby-Silverstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40QA0008911NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083786347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FRIAR TUCK DR",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558542",
            "telephone_number": "609-714-1236",
            "fax_number": "609-261-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAMPUS DR STE A",
            "address_2": "RR# 30",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080609604",
            "telephone_number": "609-261-3434",
            "fax_number": "609-261-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY SILVERSTEIN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PT, PHD, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SELBY-SILVERSTEIN",
            "prefix": "DR.",
            "credential": "PT, PHD, NCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.