Active NPI
Selina Y Kelete
- Physical Therapist
- Palmyra, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305217501
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT018082 | GA | MD | Physical Therapist |
| 13290 | SC | MD | Physical Therapist |
| 2305217501 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Focus, Inc. | Current | Accepting new patients | |
| Ivyrehab Focus, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Physical Medicine & Rehabilitation Physician
- Lake Wylie, SC
- NPI 1518105279
Physical Therapist, SC
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Rock Hill, SC
- NPI 1902443880
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.