Active NPI
Matthew Scott Sellers, CMT, IFSP
- Counselor
- Williston, VT
National Provider Identifier
1225715642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 373 Blair Park Rd
Williston, VT 05495-8037 - Phone
- (802) 595-2338
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 164.0000471 | VT | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
373 Blair Park Rd
Williston, VT 05495-8037
Mailing address
110 Perkins Rd
Montpelier, VT 05602-9452
Phone (802) 595-2338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.0000471 | VT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1225715642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PERKINS RD",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056029452",
"telephone_number": "802-595-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 BLAIR PARK RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054958037",
"telephone_number": "802-595-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "MATTHEW",
"middle_name": "SCOTT",
"credential": "CMT, IFSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VT",
"license": "164.0000471",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.