Joseph Thomas Selimo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015092 Issued in GA

Practice address

2300 Bethelview Rd Ste 203
Cumming, GA 30040-9475

Phone

(770) 888-1106

Fax

(770) 888-1653

NPI assigned

Sep 5, 2015

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Promed Preferred NJ 2 PC

  dba Health Atlast Boonton

  • Internal Medicine Physician
  • Boonton, NJ
  • NPI 1942075346
  NPD (past)
• Synergy Chiropractic Center LLC

  • Clinic/Center
  • Boonton, NJ
  • NPI 1295249613
  NPD (past)

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1174991293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BETHELVIEW RD STE 203",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409475",
            "telephone_number": "770-888-1106",
            "fax_number": "770-888-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Madison St",
            "address_purpose": "LOCATION",
            "city": "Boonton",
            "state": "NJ",
            "postal_code": "070052153",
            "country_code": "US",
            "telephone_number": "973-299-2430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELIMO",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015092",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01570300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Lorange-Herron Sebestyen, PA-C
• Avery Seelhammer, FNP
• Jesse Edward Seidman, M.D., F.A.A.O.S.
• Meg Seiferheld
• Select Physical Therapy Holdings Inc
• Haley Nicole Sellers, FNP
• Alen Selman
• Martha Lousia Selph, LMSW
• Abiramasundari Senthivel, M.D.
• Candice Dawn Sepulveda-Monaco, LCSW

• Physical Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.