Individual provider Active NPI

Deena Portnoff Sellens, P.T.

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1164708053
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14450 Issued in CA
Practice address
22995 Mill Creek Dr Ste a
Laguna Hills, CA 92653-1215
Phone
(949) 707-5555
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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 14450 CA Primary

Addresses

Primary practice location

22995 Mill Creek Dr Ste a
Laguna Hills, CA 92653-1215

Mailing address

22995 Mill Creek Dr Ste a
Laguna Hills, CA 92653-1215
Phone (949) 707-5555

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Alliance Physical Therapist PastSince Jan 1, 2002 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist PastSince Mar 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1164708053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR STE A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLENS",
        "first_name": "DEENA",
        "middle_name": "PORTNOFF",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.