Active NPI
Tyree Sellers
- Physical Therapist
- Jessup, MD
National Provider Identifier
1356044762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T16609
- Practice address
- 8610 Washington Blvd
Jessup, MD 20794-9499 - Phone
- (410) 644-1880
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | T16609 | MD | Primary |
Addresses
Primary practice location
8610 Washington Blvd
Jessup, MD 20794-9499
Mailing address
2951 Nash PL SE Apt 303
Washington, DC 20019-7751
Phone (202) 290-8914
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 |
|---|---|---|---|
| T16609 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1356044762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 NASH PL SE APT 303",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200197751",
"telephone_number": "202-290-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8610 WASHINGTON BLVD",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949499",
"telephone_number": "410-644-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "TYREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "T16609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.