Active NPI
Vanessa Marie Sellers, PT, DPT
- Physical Therapist
- Erie, PA
National Provider Identifier
1851829600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025504
- Practice address
- 4500 Pine Ave
Erie, PA 16504-2316 - Phone
- (814) 825-8900
- Fax
- (814) 825-7599
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT025504 | PA | Primary |
Addresses
Primary practice location
4500 Pine Ave
Erie, PA 16504-2316
Mailing address
3347 W 12TH St Ste 101
Erie, PA 16505-3725
Phone (814) 833-2022
Other names 1
- Vanessa Niemeyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT025504 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seth Enterprises II LLC | Physical Therapist | Current | Accepting new patients |
| Seth Enterprises I | Physical Therapist | Past | Accepting new patients |
Locations
3347 W 12th St
Ste 101
Erie, PA 16505
Phone (814) 833-2022
4500 Pine Ave
Erie, PA 16504
Phone (814) 825-8900
Organizations & group practices 2
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": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1851829600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3347 W 12TH ST STE 101",
"city": "ERIE",
"state": "PA",
"postal_code": "165053725",
"telephone_number": "814-833-2022",
"fax_number": "814-838-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PINE AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165042316",
"telephone_number": "814-825-8900",
"fax_number": "814-825-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "VANESSA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "NIEMEYER",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.