Active NPI
Selina Oelberg, OTR/L
- Occupational Therapist
- Cordova, TN
National Provider Identifier
1740794809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5286
- Practice address
- 36 Bazeberry Rd
Cordova, TN 38018-7754 - Phone
- (901) 758-0036
- NPI assigned
- Nov 28, 2017
- Last updated
- Jun 16, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5286 | TN | Primary |
Addresses
Primary practice location
36 Bazeberry Rd
Cordova, TN 38018-7754
Mailing address
1204 Chamberlain Dr Apt 14
Memphis, TN 38119-5169
Phone (901) 409-4171
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1740794809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 CHAMBERLAIN DR APT 14",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195169",
"telephone_number": "901-409-4171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BAZEBERRY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187754",
"telephone_number": "901-758-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OELBERG",
"first_name": "SELINA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
- Nuvacare Family Medicine & Obstetrics PLLC
- Josanne Mildred O'Dell, D.D.S.
- Oakland Obstetrics and Gynecology 2, LLC
- Barbara Obrien, M.D.
- Erica Patrese Odum, M.D.
- Abigail Oguin, BT
- Axel Javier Ojeda Cruzado, MD
- Adetokunboh Ojuri, M.S., CCC-SLP
- Daniel Okemba Okello, BCBA
- Elizabeth Parker Okoli, LPC/MHSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.