Individual provider Active NPI

Stefanie Elizabeth Sell, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1700441540
Registry record updated May 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305212680 Issued in VA
Practice address
2404 Potters Rd Ste 400
Virginia Beach, VA 23454-4335
Phone
(757) 340-6210
NPI assigned
May 7, 2019
Last updated
May 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT027567 PA
Physical Therapist 225100000X 2305212680 VA Primary

Addresses

Primary practice location

2404 Potters Rd Ste 400
Virginia Beach, VA 23454-4335

Mailing address

3841 Ocean Tides Dr
Virginia Beach, VA 23455-2915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127000595 WI Practitioner - Physical Therapist in Private Practice 7618309816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burkhardt Physical Therapy Center LLCGroup PAC ID 1557445061, 5 clinicians

Practice addresses (Care Compare)

1555 Heritage Blvd
West Salem, WI 54669-9404
Phone (608) 786-4989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027567PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burkhardt Physical Therapy Center LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients

Locations

1555 Heritage Blvd
West Salem, WI 54669
Phone (608) 612-6122

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1700441540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 OCEAN TIDES DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 POTTERS RD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544335",
            "telephone_number": "757-340-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELL",
        "first_name": "STEFANIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027567",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.