Active NPI
Heather Selby, LMT, CNMT, CMMP
- Massage Therapist
- Mesa, AZ
National Provider Identifier
1952110181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-28395
- Practice address
- 4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609 - Phone
- (480) 382-2537
- NPI assigned
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-28395 | AZ | Primary |
Addresses
Primary practice location
4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609
Mailing address
952 S 96TH PL
Mesa, AZ 85208-3110
Phone (714) 315-7306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-28395 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selby Medical Massage LLC | Single Specialty | Current | Accepting new patients |
Locations
4111 E Valley Auto Dr
Ste 201
Mesa, AZ 85206
Phone (480) 666-5502
Organizations & group practices 1
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": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1952110181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 S 96TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852083110",
"telephone_number": "714-315-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR STE 201",
"city": "MESA",
"state": "AZ",
"postal_code": "852064609",
"telephone_number": "480-382-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBY",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"credential": "LMT, CNMT, CMMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-28395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.