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

Nicole Selvaraj, DPT

Individual provider Physical Therapist · NPI 1245430487

Nicole Selvaraj, DPT is a Physical Therapist in Private Practice in Medford, Massachusetts. Qualified in 2007, 19 years ago. Licensed in Massachusetts.

Years since qualifying
19
Licensed in
MA
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

170 Governors Ave
Medford, MA 02155-1643
Phone: (781) 395-7750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17987 (MA)

Record details

NPI number1245430487
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 24, 2007
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Medford