Individual provider Active NPI

Emily Jane Lyons Selby, PT, DPT

  • Physical Therapist
  • Columbia, MD
National Provider Identifier
1174903132
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25490 Issued in MD
Practice address
9159 Red Branch Rd Ste F
Columbia, MD 21045-2041
Phone
(301) 887-5689
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 25490 MD Primary

Addresses

Primary practice location

9159 Red Branch Rd Ste F
Columbia, MD 21045-2041

Mailing address

7223 Yesterday LN
Elkridge, MD 21075-7308
Phone (410) 446-1837

Other practice location 1

127 Lubrano Dr
Suite 100
Annapolis, MD 21401-7114
Phone (410) 224-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001347 MD Practitioner - Physical Therapist in Private Practice 2062723836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Past 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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1174903132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 YESTERDAY LN",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757308",
            "telephone_number": "410-446-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 RED BRANCH RD STE F",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452041",
            "telephone_number": "301-887-5689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Lubrano Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017114",
            "country_code": "US",
            "telephone_number": "410-224-0144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELBY",
        "first_name": "EMILY",
        "middle_name": "JANE LYONS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.