Kerry E Lane Selmo, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11673 Issued in AZ

Practice address

3090 N 3Rd Ave
Phoenix, AZ 85013-4402

Phone

(602) 745-2932

Fax

(602) 745-2963

NPI assigned

Sep 5, 2012

Last updated

Jun 11, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerry.lane.selmo.1@31799.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosurgical Associates, LTD

  dba Barrow Brain and Spine

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1043202484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Neurosurgical Associates, LTD

  dba Barrow Brain and Spine

  • Neurological Surgery Physician
  • Phoenix, AZ
  • NPI 1013797844
  NPD

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1275882383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30401 N 42ND PL",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313860",
            "telephone_number": "480-292-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134402",
            "telephone_number": "602-745-2932",
            "fax_number": "602-745-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE SELMO",
        "first_name": "KERRY",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "11673",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045576",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Anne Landrus, LPC
• Joelle Landry, COTA
• Emily Landseadal, LPC
• Jonathan C Landsman, M.D.
• Kayla Landy, RN
• Annette Lane
• Billie Jean Lane, FNP-C
• Britta K Lane, NP
• Dixie E. Lane, R.D., C.D.E.
• Elizabeth Shirney Lane, MD

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.