Individual provider Active NPI

Selina Oelberg, OTR/L

  • Occupational Therapist
  • Cordova, TN
National Provider Identifier
1740794809
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5286 Issued in TN
Practice address
36 Bazeberry Rd
Cordova, TN 38018-7754
Phone
(901) 758-0036
NPI assigned
Nov 28, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.