Individual provider Active NPI

Selina Y Kelete

  • Physical Therapist
  • Palmyra, VA
National Provider Identifier
1932074010
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217501 Issued in VA
Practice address
109 Crofton PL
Palmyra, VA 22963-3300
Phone
(434) 589-9588
NPI assigned
Oct 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13290 SC
Physical Therapist 225100000X 2305217501 VA Primary
Physical Therapist 225100000X PT018082 GA

Addresses

Primary practice location

109 Crofton PL
Palmyra, VA 22963-3300

Mailing address

PO Box 412066
Boston, MA 02241-2066
Phone (914) 294-4050

Other practice location 1

130 Crisanto Ave Ste A
Fort Mill, SC 29715-6272
Phone (803) 746-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260107000108 VA Practitioner - Physical Therapist in Private Practice 2264928506 Reassigns benefits to 1 organization
I20260310004792 SC Practitioner - Physical Therapist in Private Practice 2264928506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Ivyrehab Focus, Inc.Group PAC ID 5890851406, 39 clinicians

Practice addresses (Care Compare)

109 Crofton PL
Palmyra, VA 22963-3300
Phone (434) 589-9588

130 Crisanto Ave
Suite a
Fort Mill, SC 29715-6272
Phone (803) 746-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018082GAMDPhysical Therapist
13290SCMDPhysical Therapist
2305217501VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Focus, Inc. CurrentSince Mar 3, 2026 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Mar 3, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

109 Crofton Pl
Palmyra, VA 22963
Phone (434) 589-9588

70 Jefferson Ct
Ste 102
Zion Crossroads, VA 22942
Phone (540) 832-3061

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": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1932074010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412066",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412066",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROFTON PL",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229633300",
            "telephone_number": "434-589-9588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Crisanto Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297156272",
            "country_code": "US",
            "telephone_number": "803-746-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELETE",
        "first_name": "SELINA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13290",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217501",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.