Individual provider Active NPI

Melissia C Selwyn, LPTA

  • Physical Therapy Assistant
  • Roanoke, VA
National Provider Identifier
1821756529
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306602958 Issued in VA
Practice address
3365 Ogden Rd
Roanoke, VA 24018-1151
Phone
(540) 682-7500
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306602958 VA Primary

Addresses

Primary practice location

3365 Ogden Rd
Roanoke, VA 24018-1151

Mailing address

148 Nassau Rd
Fincastle, VA 24090-4379
Phone (815) 219-8029

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Roanoke Health Information Exchange (HIE)

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
2306602958VAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1821756529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NASSAU RD",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240904379",
            "telephone_number": "815-219-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 OGDEN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181151",
            "telephone_number": "540-682-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELWYN",
        "first_name": "MELISSIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Roanoke",
            "affiliation": "N",
            "endpointDescription": "Assisted living facity",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3365 Ogden Rd",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240181151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.