Selena Christie McCorkle, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306601280 Issued in VA

Practice address

2001 Ridgewood Dr
Salem, VA 24153-7126

Phone

(540) 387-4120

Fax

(540) 387-4121

NPI assigned

Jun 14, 2007

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

Other names 1

• Selena Ann Christie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1598969156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RIDGEWOOD DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RIDGEWOOD DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537126",
            "telephone_number": "540-387-4120",
            "fax_number": "540-387-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "SELENA",
        "middle_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "CHRISTIE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Van Burwell McCarter, D.D.S.
• Joseph Jeremiah McCarthy, MD
• Maureen Fay McCarthy, M.D.
• Kendal McCarty
• Andrea C McClure, AU.D
• Jeremy Blake McCormick, DPT
• Rebecca Wood McCraven, PHARM.D.
• Emmylou K McDaniel, NP
• Martha Anne McDearmon, PHARM. D.
• Robert McDonald, RPH

• Physical Therapy Assistant in Salem, VA
• Providers in Salem, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.