Individual provider Active NPI

Vanessa Marie Sellers, PT, DPT

  • Physical Therapist
  • Erie, PA
National Provider Identifier
1851829600
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025504 Issued in PA
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

Updated by the provider on Jul 14, 2021

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718001343 PA Practitioner - Physical Therapist in Private Practice 6800166208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025504PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seth Enterprises II LLC Physical Therapist CurrentSince Jul 18, 2017 Accepting new patients
Seth Enterprises I Physical Therapist PastSince Mar 4, 2003 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.

Verify at the official NPI Registry.