Abigail Kathleen Selfridge

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA007795 Issued in PA

Practice address

82 Town Run Rd
Fairmount City, PA 16224-1502

Phone

(833) 684-1904

Fax

(814) 275-1610

NPI assigned

Jul 1, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1194642116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TOWN RUN RD",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241502",
            "telephone_number": "833-684-1904",
            "fax_number": "814-275-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TOWN RUN RD",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241502",
            "telephone_number": "833-684-1904",
            "fax_number": "814-275-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELFRIDGE",
        "first_name": "ABIGAIL",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA007795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Meier, CRNP
• Marcy L Monrean, PA-C
• Moore Physical Therapy Inc.
• Justin L Moore, DPT
• Ahmad Nabatchi, MD
• Jayme L Shaffer
• Lana J Smith, C.R.N.P
• Barry James Snyder, MD
• Cailin Nicole Travis
• Amy Mae Wright

• Physician Assistant in Fairmount City, PA
• Providers in Fairmount City, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.