DR. JESSICA LYNN SELOCK (NPI# 1609058502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609058502 |
Entity Type | Individual |
Full Name | DR. JESSICA LYNN SELOCK |
Credential | P.T., D.P.T. |
Practice Address |
2 Keewaydin Dr Salem NH 03079-2839 |
Mailing Address |
Po Box 57 New Hampton NH 03256-0057 |
Practice Telephone | 1800995267 |
Mailing Telephone | 5165513385 |
Enumeration Date | 2007-12-03 |
Last Update Date | 2009-11-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
029150-01 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2 KEEWAYDIN DR |
City | SALEM |
State | NH |
Zip Code | 03079-2839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902922610 | Katy Merritt | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2007-03-22 |
1821533944 | Ilona Van Der Ven | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-28 |
1992240170 | Kai Wen Cheng | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-27 |
1619412996 | Christine Pearson | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-22 |
1346784873 | Kathryn Fewell | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-19 |
1144764747 | Susan Thompson | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-15 |
1578007449 | Sarah White | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-13 |
1376087379 | Linda Seamon | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-09 |
1053855072 | Taylor Woodaman | Registered Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-12-09 |
1154864734 | Maggie Trotter | Licensed Practical Nurse | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2016-11-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
Find all providers in zip 03079 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679740609 | Ruth E Rotert | Physical Therapist | 25523 442nd Ave, Salem, SD 57058-5519 | 2008-05-08 |
1508047721 | Laurie English | Physical Therapist | 11 Redwood Rd, Salem, NH 03079-3489 | 2007-11-15 |
1083829030 | Greenwood Therapy Services | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-12 |
1043519242 | Erin Apo | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2011-03-28 |
1972719870 | Jonathan Mark Greenwood | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-15 |
1073642922 | Elizabeth Shirley | Physical Therapist | 2262 Banyonwood Ave Nw, Salem, OR 97304-1341 | 2007-03-05 |
1467437244 | Barbara Jacqueline Petersen | Physical Therapist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925164 | Barbara B. Dematteo, Pt | Physical Therapist | 70 Island Street, Keene, NH 03431 | 2019-01-04 |
1194137356 | Jacqueline Shannon | Physical Therapist | 20 Industrial Park Drive, Nashua, NH 03062 | 2014-05-22 |
1447543046 | Katherine Camoscio | Physical Therapist | 20 Industrial Park Dr, Nashua, NH 03062-3178 | 2011-05-16 |
1740402346 | Kidz Play Pediatric Therapy | Physical Therapist | 1f Commons Drive, Suite 38, Londonderry, NH 03053 | 2007-05-03 |
1174682868 | Jane A Swain | Physical Therapist | 194 Paine Rd, Westmoreland, NH 03467-4212 | 2006-12-08 |
1184795460 | Kendra A Garrow | Physical Therapist | 497 Hooksett Rd, Suite 227, Manchester, NH 03104-2632 | 2006-11-10 |
1710064514 | Barbara B Dematteo | Physical Therapist | 70 Island St, Keene, NH 03431-3528 | 2006-11-01 |
1891877502 | Sandra K Yaffe | Physical Therapist | 144 Canal Street, Nashua, NH 03064 | 2006-10-20 |
1801807276 | Elizabeth Favreau Wuebbolt | Physical Therapist | 40 S. River Road, Uni, Merrimack Valley Physical Therapy, Bedford, NH 03110 | 2006-08-11 |
1083611719 | Tammy E Ciminesi | Physical Therapist | 40 Pembroke Rd, Community Bridges, Concord, NH 03301-5641 | 2005-07-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.