Individual provider Active NPI

Daniel Ray Selby Jr., PT

  • Physical Therapist
  • Goodyear, AZ
National Provider Identifier
1629041967
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7151 Issued in AZ
Practice address
3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804
Phone
(623) 935-5505
Fax
(623) 935-5551
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 7151 AZ Primary

Addresses

Primary practice location

3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804

Mailing address

3050 N Litchfield Rd
Ste #100
Goodyear, AZ 85395-7804
Phone (623) 386-2660

Other identifiers 1

IdentifierTypeStateIssuer
146642MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000521 AZ Practitioner - Physical Therapist in Private Practice 4486660800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

6213 S Miller Rd
Suite 103
Buckeye, AZ 85326-1253
Phone (623) 386-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7151AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Figueroa Physical Therapy Physical Therapist CurrentSince Jan 25, 2005 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

10320 W McDowell Rd
Ste N1447
Avondale, AZ 85392
Phone (623) 907-4400

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

8811 N 51st Ave
Ste 102
Glendale, AZ 85302
Phone (623) 915-2726

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1629041967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "STE #100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-386-2660",
            "fax_number": "623-386-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-935-5505",
            "fax_number": "623-935-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146642",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.