Selena Nicole Fuller, DPT
Individual provider Active NPI Physical Therapist · Crystal Falls, MI
NPI 1568073377 · NPPES record last updated Dec 17, 2025
Key facts
- NPI
- 1568073377
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501019643 (MI)
- Practice address
- 1352 US Hwy 2
Crystal Falls, MI 49920 - Phone
- (906) 874-1124
- Fax
- (906) 874-2124
- NPI assigned
- Aug 14, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Xperience Physical Therapy PLLC
Practice addresses (Care Compare)
1352 US Hwy 2
Crystal Falls, MI 49920-1047
Phone (906) 874-1124
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004000751 | MI | Practitioner - Physical Therapist in Private Practice | 0042618225 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019643 | MI | MD | Physical Therapist |
| PT018633 | OH | MD | Physical Therapist |
| 15213-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Iron River Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Xperience Physical Therapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Aspirus Iron River Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018633 | OH | |
| Physical Therapist | 225100000X | 15213-24 | WI | |
| Physical Therapist | 225100000X | 5501019643 | MI | Yes |
Addresses
Primary practice location
1352 US Hwy 2
Crystal Falls, MI 49920
Mailing address
1352 US Hwy 2
Crystal Falls, MI 49920
Phone (906) 874-1124
Other practice location 1
501 2nd St
Menominee, MI 49858-3203
Phone (906) 863-9941
Other names
- Selena Fushimi-Karns
Other providers in Crystal Falls, MI
- Dickinson-Iron District Health Department
- Dr Brian Begres DC PC
- Falls Clinic, P.C.
- Falls Drug Store Inc
- Jordan Fuller
- Ashley Sue Guzowski
- Alexis Ann Hegstrom
- Dennis Nelson Hulbert
- Iron County Medical Care Facility
- Marie Konoske
All providers in Crystal Falls, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.