Individual provider Active NPI

Selina Mear

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1811564271
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
0023025 Issued in CO
Practice address
1940 N Pennsylvania St
Denver, CO 80203-1340
Phone
(720) 459-8934
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 0023025 CO Primary

Addresses

Primary practice location

1940 N Pennsylvania St
Denver, CO 80203-1340

Mailing address

330 Emporia St
Aurora, CO 80010-4217

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0023025COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back in a Flash Chiropractic Inc CurrentSince Nov 13, 2022 Accepting new patients

Locations

1940 N Pennsylvania St
Denver, CO 80203
Phone (720) 459-8934

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1811564271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 EMPORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800104217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031340",
            "telephone_number": "720-459-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAR",
        "first_name": "SELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0023025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.