Selina Woodham, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT302258 Issued in CA

Practice address

645 E Calaveras Blvd
Milpitas, CA 95035-7705

Phone

(408) 325-6251

Fax

(408) 325-6281

NPI assigned

Aug 25, 2022

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

Other names 1

• Selina Yamane Woodham Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optm Physical Therapy of Saratoga, Inc.

  • Specialist
  • Saratoga, CA
  • NPI 1538131917

  Physical Therapist

  Medicare reassignment NPD
• Silver Creek Fitness and Physical Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1063510337
  Medicare reassignment NPD
• Silver Creek Physical Therapy Gilroy

  • Physical Therapist
  • Gilroy, CA
  • NPI 1972630838
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1255050837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 STEAMBOAT PKWY UNIT 7906",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357705",
            "telephone_number": "408-325-6251",
            "fax_number": "408-325-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHAM",
        "first_name": "SELINA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELINA",
            "last_name": "YAMANE WOODHAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Winter
• Galen M Wong, DDS
• Wing Hang Virginia Wong
• Shaun Woo, DDS, MS
• Rachel Wood, DPM
• Mark G. Wright, M.S.P.T
• Chuchu Wu, O.M.D., L.AC
• Mengyou Wu, MD
• Yan Xia, BCBA
• Xly Acupuncture Clinic

• Physical Therapist in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.