Individual provider Active NPI

Dolores K Miller-Sellers, P.T.

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1104086446
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19260 Issued in FL
Practice address
6303 NW 81St Blvd
Gainesville, FL 32653-2976
Phone
(352) 381-9445
Fax
(352) 378-9523
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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 PT19260 FL Primary

Addresses

Primary practice location

6303 NW 81St Blvd
Gainesville, FL 32653-2976

Mailing address

6303 NW 81St Blvd
Gainesville, FL 32653-2976
Phone (352) 381-9445

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

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1104086446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 NW 81ST BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532976",
            "telephone_number": "352-381-9445",
            "fax_number": "352-378-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 NW 81ST BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532976",
            "telephone_number": "352-381-9445",
            "fax_number": "352-378-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-SELLERS",
        "first_name": "DOLORES",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; 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.