Individual provider Active NPI

Paulette Selimo, DPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1306208384
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01574700 Issued in NJ
Practice address
1755 Grassland Pkwy Ste B
Alpharetta, GA 30004-8601
Phone
(678) 580-1404
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01574700 NJ Primary

Addresses

Primary practice location

1755 Grassland Pkwy Ste B
Alpharetta, GA 30004-8601

Mailing address

1755 Grassland Pkwy Ste B
Alpharetta, GA 30004-8601
Phone (678) 580-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 Grassland Pkwy B
Alpharetta, GA 30004-8601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01574700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Step Atlanta Inc Physical Therapist CurrentSince Mar 30, 2021 Accepting new patients

Locations

1755 Grassland Pkwy
Ste B
Alpharetta, GA 30004
Phone (678) 580-1404

Organizations & group practices 1

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": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1306208384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 GRASSLAND PKWY STE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048601",
            "telephone_number": "678-580-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 GRASSLAND PKWY STE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048601",
            "telephone_number": "678-580-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIMO",
        "first_name": "PAULETTE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01574700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.