Shelley Dawn Seifert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14468 Issued in CA

Practice address

1130 N Louise St
#8
Glendale, CA 91207-1612

Phone

(818) 484-5026

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspring Therapy Inc

  • Customized Equipment (DME)
  • Glendale, CA
  • NPI 1801001508
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1629058722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N LOUISE ST",
            "address_2": "#8",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071612",
            "telephone_number": "818-484-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N LOUISE ST",
            "address_2": "#8",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071612",
            "telephone_number": "818-484-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFERT",
        "first_name": "SHELLEY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT1074",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "225615",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Sedrak, PHARM D
• Lilianna Sedrakyan
• See Inc
• Alex Sefian
• Karmen Sefyan, RPH
• Nicholas David Seim, PT, DPT
• Natalie Seiser, MD
• Leslie Maryan Sejdak, D.D.S.
• Selaphiel Home Health Care Inc
• Select CS Physical Therapy, P.C. (Select Physical Therapy)

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.