Individual provider Active NPI

Selena Tran, PT, DPT

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1679397889
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT307263 Issued in CA
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

Updated by the provider on Nov 13, 2024

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 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 IDStateProvider typePAC IDDetails
I20250103002831 CA Practitioner - Physical Therapist in Private Practice 4486182425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT307263CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Nov 14, 2024 Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Nov 14, 2024 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.

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.

Verify at the official NPI Registry.