Michelle Tybie Selber, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT6266 Issued in CA

Practice address

2345 Tulip Rd
San Jose, CA 95128-1141

Phone

(408) 247-6634

Fax

(408) 247-6636

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Active Life Rehab, Inc.

  • Geriatric Physical Therapist
  • Escondido, CA
  • NPI 1346295805
  NPD (past)

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1467742833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 TULIP RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281141",
            "telephone_number": "408-247-6634",
            "fax_number": "408-247-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 TULIP RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281141",
            "telephone_number": "408-247-6634",
            "fax_number": "408-247-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBER",
        "first_name": "MICHELLE",
        "middle_name": "TYBIE",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT6266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Seidenstricker
• Dara Sek, RN
• Harjit K Sekhon, M.D.
• Kritee Sekhon, PHARMD
• Samir Singh Sekhon
• Kyle Self, PHD
• Lila Jane Selig
• Val Selivanov, MD
• Henry Selke, DO
• Ayla Sellers

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.