Individual provider Active NPI

Selena Duff, PTA

  • Skilled Nursing Facility
  • Florence, AL
National Provider Identifier
1851785844
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
347 Issued in AL
Practice address
2830 Phillips St
Florence, AL 35633-1525
Phone
(256) 762-3362
NPI assigned
Mar 27, 2015
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 347 AL Primary

Addresses

Primary practice location

2830 Phillips St
Florence, AL 35633-1525

Mailing address

2830 Phillips St
Florence, AL 35633-1525
Phone (256) 762-3362

Other names 1

  • Mrs. Selena Johnson Duff Professional name

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
347ALMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1851785844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 PHILLIPS ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331525",
            "telephone_number": "256-762-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 PHILLIPS ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331525",
            "telephone_number": "256-762-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "SELENA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENA",
            "last_name": "DUFF",
            "middle_name": "JOHNSON",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.