Active NPI
Selena A. Bobula, DPT
- Physical Therapist
- Fort Carson, CO
National Provider Identifier
1720385305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11608-24
- Practice address
- 1650 Cochrane Circle
Fort Carson, CO 80913 - Phone
- (719) 526-2361
- Fax
- (719) 526-7732
- NPI assigned
- Feb 17, 2011
- Last updated
- Jul 10, 2025
- 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 | 11608-24 | WI | Primary |
Addresses
Primary practice location
1650 Cochrane Circle
Fort Carson, CO 80913
Mailing address
1650 Cochrane Circle
Fort Carson, CO 80913
Phone (719) 526-2361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11608-24 | Other | WI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11608-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1720385305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-2361",
"fax_number": "719-526-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIRCLE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-2361",
"fax_number": "719-526-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBULA",
"first_name": "SELENA",
"middle_name": "A.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11608-24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "11608-24",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.