Individual provider Active NPI

Katherine Anne Sellaroli, PT

  • Physical Therapist
  • Lehigh Acres, FL
National Provider Identifier
1225683337
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36642 Issued in FL
Practice address
4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735
Phone
(239) 368-7744
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-018250 OH
Physical Therapist 225100000X PT36642 FL Primary

Addresses

Primary practice location

4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735

Mailing address

4316 Lee Blvd Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260115001363 FL Practitioner - Physical Therapist in Private Practice 3870925027

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1144 Terraho Dr
Salem, OH 44460-9724

1575 Pine Ridge Rd
Suite 4
Naples, FL 34109-2107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36642FLMDPhysical Therapist
PT-018250OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy and Fitness, PLLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Physionetics LLC Physical Therapist PastSince Dec 15, 2025 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 20, 2020 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 4
Naples, FL 34109
Phone (239) 438-1194

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1225683337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 LEE BLVD UNIT 12B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711735",
            "telephone_number": "239-368-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 LEE BLVD UNIT 12B",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711735",
            "telephone_number": "239-368-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLAROLI",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-018250",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.