Active NPI
Selena Tran, PT, DPT
- Physical Therapist
- Lafayette, CA
National Provider Identifier
1679397889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307263
- Practice address
- 3658 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-6828 - Phone
- (925) 284-6150
- NPI assigned
- Nov 13, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT307263 | CA | Primary |
Addresses
Primary practice location
3658 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-6828
Mailing address
380 Civic Dr Ste 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-6150
Other practice location 1
380 Civic Dr Ste 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-6150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250103002831 | CA | Practitioner - Physical Therapist in Private Practice | 4486182425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307263 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Lafayette Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3658 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-6150
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
Organizations & group practices 2
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.
-
- Physical Therapist
- Lafayette, CA
- NPI 1225125081
-
- Physical Therapist
- Pleasant Hill, CA
- NPI 1346614963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1679397889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 CIVIC DR STE 100",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945231946",
"telephone_number": "925-284-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3658 MT DIABLO BLVD STE 100",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945496828",
"telephone_number": "925-284-6150"
}
],
"practiceLocations": [
{
"address_1": "380 Civic Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Pleasant Hill",
"state": "CA",
"postal_code": "945231946",
"country_code": "US",
"telephone_number": "925-284-6150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAN",
"first_name": "SELENA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.