Individual provider Active NPI

Amy Christine Selby, PT

  • Physical Therapist
  • Holly, MI
National Provider Identifier
1952686065
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015748 Issued in MI
Practice address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone
(810) 771-7686
Fax
(810) 771-7685
NPI assigned
Oct 20, 2011
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015748 MI Primary

Addresses

Primary practice location

10483 Dixie Hwy
Holly, MI 48442-9311

Mailing address

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120116000151 MI Practitioner - Physical Therapist in Private Practice 5890962823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level Eleven HowellGroup PAC ID 9830495910, 14 clinicians
Level 11 Physical TherapyGroup PAC ID 8527104835, 23 clinicians
Level Eleven SaginawGroup PAC ID 4981843703, 8 clinicians

Practice addresses (Care Compare)

1030 W Highland Rd
Howell, MI 48843-8701
Phone (517) 546-9000

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

5815 Bay Rd
Suite 400
Saginaw, MI 48604-2542
Phone (989) 799-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015748MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Level Eleven Saginaw, LLC CurrentSince Oct 1, 2023 Accepting new patients
Level Eleven Howell Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Level Eleven Howell, LLC CurrentSince Sep 24, 2023 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist Current Accepting new patients
Level Eleven Saginaw Physical Therapist CurrentSince Aug 5, 2014 Accepting new patients
Level 11 Physical Therapy Physical Therapist CurrentSince Sep 24, 2011 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 4, 2019 Accepting new patients

Locations

10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301

1030 W Highland Rd
Howell, MI 48843
Phone (517) 546-9000

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

3420 West Rd
Trenton, MI 48183
Phone (734) 215-9569

3420 West Rd
#11
Trenton, MI 48183
Phone (734) 671-1923

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1952686065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10483 DIXIE HWY",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429311",
            "telephone_number": "810-771-7686",
            "fax_number": "810-771-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10483 DIXIE HWY",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429311",
            "telephone_number": "810-771-7686",
            "fax_number": "810-771-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.