Individual provider Active NPI

John Jemujeff Chua Selga, DPT

  • Physical Therapist
  • Apache Junction, AZ
National Provider Identifier
1881165090
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
IP-18-08 Issued in AZ
Practice address
1075 S Idaho Rd Ste 210
Apache Junction, AZ 85119-6405
Phone
(480) 983-0877
Fax
(480) 983-3172
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-30626 AZ
Physical Therapist 225100000X IP-18-08 AZ Primary

Addresses

Primary practice location

1075 S Idaho Rd Ste 210
Apache Junction, AZ 85119-6405

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

17233 N Holmes Blvd Ste 1650
Phoenix, AZ 85053-2030
Phone (602) 547-1836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207000781 AZ Practitioner - Physical Therapist in Private Practice 1850639329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Continuum Wellness Clinic LLCGroup PAC ID 7012802713, 6 clinicians

Practice addresses (Care Compare)

1075 S Idaho Rd
Suite 210
Apache Junction, AZ 85119-6405
Phone (480) 983-0877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-30626AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Continuum Wellness Clinic, LLC CurrentSince Dec 2, 2024 Accepting new patients
Spectrum Spine and Sport Physical Therapy LLC Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Continuum Wellness Clinic LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Strength Training Inc PastSince Dec 17, 2018 Accepting new patients

Locations

1075 S Idaho Rd
Ste 210
Apache Junction, AZ 85119
Phone (480) 983-0877

3485 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 507-2044

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

Organizations & group practices 4

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1881165090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 S IDAHO RD STE 210",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196405",
            "telephone_number": "480-983-0877",
            "fax_number": "480-983-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17233 N Holmes Blvd Ste 1650",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850532030",
            "country_code": "US",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELGA",
        "first_name": "JOHN JEMUJEFF",
        "middle_name": "CHUA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30626",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "IP-18-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.