Abigail Kathleen Selfridge
Individual provider Active NPI Physician Assistant · Fairmount City, PA
NPI 1194642116 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1194642116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- OA007795 (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
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | OA007795 | PA | Yes |
Addresses
Primary practice location
82 Town Run Rd
Fairmount City, PA 16224-1502
Mailing address
82 Town Run Rd
Fairmount City, PA 16224-1502
Phone (833) 684-1904
Other providers in Fairmount City, PA
- Crystal Meier
- Marcy L Monrean
- Moore Physical Therapy Inc.
- Justin L Moore
- Ahmad Nabatchi
- Jayme L Shaffer
- Lana J Smith
- Barry James Snyder
- Amy Mae Wright
All providers in Fairmount City, PA · Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.