Jaclyn Selwyn

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT9750 Issued in FL

Practice address

5071 NW 125TH Ave
Coral Springs, FL 33076-3448

Phone

(954) 899-6655

NPI assigned

Oct 26, 2006

Last updated

Jan 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Wororks Inc, of South Florida

  • Home Health Agency
  • Coral Springs, FL
  • NPI 1134558513
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1881779171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 NW 125TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 NW 125TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763448",
            "telephone_number": "954-899-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELWYN",
        "first_name": "JACLYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT9750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887644400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiliette Sejour-Thelismon, LCSW
• Brandon Basri Selcuk
• Samantha Selig
• Kimberly Seliger, PA
• Jacob Seligsohn, MD
• Arlene Semeco, M.S, R.D., LD/N
• Maria A Semprun, DMD
• Marie Lourdes Senatus, DMD
• Senior Care Medical Ctr (Coral Gate Medical Group)
• Senior Medical Associates LLC

• Pediatric Occupational Therapist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.