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

Selena Phan, DPT

Individual provider Physical Therapist · NPI 1972336733

Selena Phan, DPT is a Physical Therapist in Private Practice in Great Neck, New York. Graduated from State Un of Ny, Stony Brook School of Dental Med in 2024, 2 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
State Un of Ny, Stony Brook School of Dental Med
Licensed in
NY
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

475 Northern Blvd
Great Neck, NY 11021-4819
Phone: (516) 466-7723
Fax: (516) 466-7723
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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 052960 (NY)

Record details

NPI number1972336733
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
Graduated 2024 (2 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Great Neck