Active NPI
Selina Viscetto
- Athletic Trainer
- Central Point, OR
National Provider Identifier
1508786625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- BAP-TA-10209288
- Practice address
- 73 N 1St St
Central Point, OR 97502-2069 - Phone
- (541) 665-8120
- NPI assigned
- Jul 18, 2026
- Last updated
- Jul 18, 2026
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | BAP-TA-10209288 | OR | Primary |
Addresses
Primary practice location
73 N 1St St
Central Point, OR 97502-2069
Mailing address
73 N 1St St
Central Point, OR 97502-2069
Phone (541) 665-8120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784332800000",
"number": "1508786625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 N 1ST ST",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022069",
"telephone_number": "541-665-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 N 1ST ST",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975022069",
"telephone_number": "541-665-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISCETTO",
"first_name": "SELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-18",
"last_updated": "2026-07-18",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "BAP-TA-10209288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.