Select Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10768 Issued in NC

Legal business name

SELECT PHYSICAL THERAPY

Practice address

615 S Hughes Blvd Ste B
Elizabeth City, NC 27909-4784

Phone

(252) 335-2087

Fax

(252) 335-2682

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey Colson Phelps, PTNPI 1982956090

Title

Physical Therapist

Phone

(252) 335-2087

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracey C Phelps, MPT

  • Orthopedic Physical Therapist
  • Elizabeth City, NC
  • NPI 1982956090
  Authorized official Same address or phone

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1821343153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094784",
            "telephone_number": "252-335-2087",
            "fax_number": "252-335-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S HUGHES BLVD STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094784",
            "telephone_number": "252-335-2087",
            "fax_number": "252-335-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "COLSON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "252-335-2087",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "10768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott C Blanchard DDS PA
• Jean Dianne Scott, LCSW, RN
• Kerry Anne Scott, PA
• Breanne Williams Scribner, PHARMD
• Seeking Out Serendipity Counseling Services
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Amber Bane Seneres, LPC
• Jordan Marie Senger
• Sentara Advanced Imaging Solutions, LLC (Sentara Advanced Imaging Solutions)
• Sentara Albemarle Regional Medical Center

• Physical Therapy Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.