Individual provider Active NPI

Courtney Selbo, OTR/L

  • Pediatric Occupational Therapist
  • Morgan Hill, CA
National Provider Identifier
1982140547
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
16171 Issued in CA
Practice address
17400 Monterey Rd
Suite 2E
Morgan Hill, CA 95037-7318
Phone
(408) 778-6200
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 16171 CA Primary

Addresses

Primary practice location

17400 Monterey Rd
Suite 2E
Morgan Hill, CA 95037-7318

Mailing address

698 N Santa Cruz Ave Apt 26
Los Gatos, CA 95030-4302
Phone (408) 966-8571

Other names 1

  • Courtney Cump Former name

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

LicenseStateTypeSpecialty
16171CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Pathways Inc Pediatrics Past Accepting new patients

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1982140547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 N SANTA CRUZ AVE APT 26",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950304302",
            "telephone_number": "408-966-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 MONTEREY RD",
            "address_2": "SUITE 2E",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377318",
            "telephone_number": "408-778-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBO",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "16171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "CUMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.