Burke Marshall Selbst, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4042 Issued in OR

Practice address

1001 SW Emkay Dr Ste 100
Bend, OR 97702-3663

Phone

(541) 385-3344

Fax

(541) 312-5256

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy, Inc.Group PAC ID 9739113143, 9 clinicians

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 and National Provider Directory roles.

• Focus Physical Therapy, Inc.

  • Physical Therapist
  • Bend, OR
  • NPI 1104961978
  Medicare reassignment Care Compare group NPD
• Healing Bridge Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1558344531
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1104874890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW ITHACA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW EMKAY DR STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023663",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBST",
        "first_name": "BURKE",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Seidel
• Riley Jo Seidel, PA-C
• Ross K Seidel
• Kali L Seisler, RN
• Dane Sullivan Seitz, D.C.
• Laura Selby, DO
• Amanda Mae Selchau, M.D.
• Nancy L Semich, PNP
• Lyndol Senf
• Seniors at Home LLC

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.