Individual provider Active NPI

Seles Powell, PT

  • Physical Therapist
  • Riverview, FL
National Provider Identifier
1811857899
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43995 Issued in FL
Practice address
11375 Big Bend Rd
Riverview, FL 33579-7183
Phone
(813) 805-8167
Fax
(844) 214-1382
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43995 FL Primary

Addresses

Primary practice location

11375 Big Bend Rd
Riverview, FL 33579-7183

Mailing address

11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167

Other practice location 1

11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208003189 FL Practitioner - Physical Therapist in Private Practice 8729572748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43995FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
Optimal Performance and Physical Therapies-Riverview, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

11375 Big Bend Rd
Riverview, FL 33579
Phone (813) 805-8167

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1811857899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11375 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 BIG BEND RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797183",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11375 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797183",
            "country_code": "US",
            "telephone_number": "813-805-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SELES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.