Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Selena Phaup

Individual provider Physical Therapist · NPI 1558551150

Mary Selena Phaup is a Physical Therapist in Private Practice in Madisonville, Kentucky. Graduated from University of Tennessee, Hsc, College of Medicine in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
44
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
KY
In the registry since
2007
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Practice location Address checks out

1015 College Dr
Madisonville, KY 42431-9189
Phone: (270) 452-2188
Fax: (270) 245-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 001050 (KY)

Record details

NPI number1558551150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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