Individual provider Active NPI

Matthew Kevin Sellen, DPT

  • Physical Therapist
  • Englewood, CO
National Provider Identifier
1356048839
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18957 Issued in CO
Practice address
799 E Hampden Ave Ste 303
Englewood, CO 80113-2762
Phone
(720) 328-5055
Fax
(720) 387-8149
NPI assigned
Feb 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 18957 CO Primary

Addresses

Primary practice location

799 E Hampden Ave Ste 303
Englewood, CO 80113-2762

Mailing address

799 E Hampden Ave Ste 303
Englewood, CO 80113-2762
Phone (720) 328-5055

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18957COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1356048839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 303",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132762",
            "telephone_number": "720-328-5055",
            "fax_number": "720-387-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 303",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132762",
            "telephone_number": "720-328-5055",
            "fax_number": "720-387-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLEN",
        "first_name": "MATTHEW",
        "middle_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.