William Tyson Sellers, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1139889 Issued in TX

Practice address

156 S Main St
Suite 200
Lumberton, TX 77657-7881

Phone

(409) 658-9369

NPI assigned

Jan 8, 2008

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Therapeutic Endeavors LLC

  dba Pro-Fit

  • Physical Therapy Clinic/Center
  • Lumberton, TX
  • NPI 1235570201
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1104001247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S ARCHIE ST",
            "city": "VIDOR",
            "state": "TX",
            "postal_code": "776624839",
            "telephone_number": "409-422-0606",
            "fax_number": "888-804-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577881",
            "telephone_number": "409-658-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "WILLIAM",
        "middle_name": "TYSON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1139889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald K. Risinger, DDS, Ms, PC
• Joni Ann Ruiz, AU.D.
• Jessica Hernandez Sanchez, LPC, PLP
• Brian Hashem Sayyad, D.C
• Shyloa Starre Seaman
• Janet Sewell, N.P.
• Shanthi G Reddy MD PA (Dr Shanthi G Reddy)
• Elise Shellenberger, NP
• Abhishek Shetty, DMD
• Christie R Shoemaker, APRN

• Physical Therapist in Lumberton, TX
• Providers in Lumberton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.