MR. WILLIAM TYSON SELLERS (PT) – Physical Therapist, NPI 1104001247

MR. WILLIAM TYSON SELLERS (PT) is a healthcare provider. based in Vidor, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1139889 (TX). The NPI Number for MR. WILLIAM TYSON SELLERS (PT) is 1104001247

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM TYSON SELLERS (PT)
NPI
1104001247
Phone
(409) 422-0606
Address
250 S ARCHIE ST
Enumeration Date
8 January 2008
Last Update Date
26 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097554860
Graduation Year
2001 (25 years ago)
PAC ID
5496711020
Professional Enrollment ID
I20130911000290
Address ID
TX776577882LU156XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MR. WILLIAM TYSON SELLERS (PT)

  • 250, South Archie Street, Vidor, Orange County, Texas, 77662, United States

    VIDOR, TX 776624839

    Phone: (409) 422-0606

    Fax: (888) 804-5430

    Type: Mailing

  • 156, Main Street, Lumberton, Robeson County, North Carolina, 28358, United States

    SUITE 200

    LUMBERTON, TX 776577881

    Phone: (409) 658-9369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130911000290IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,959129$0
97140Therapy procedure using manual technique, each 15 minutes1,22582$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes65038$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care33535$0
97161Evaluation for physical therapy, typically 20 minutes130123$0
View full utilization report →

Insurance plans in this area (ZIP 77662)

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Provider's Procedures

MR. WILLIAM TYSON SELLERS (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97001Physical therapy evaluation9487

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Frequently asked questions

What NPI should I save for MR. WILLIAM TYSON SELLERS (PT)?
Save NPI 1104001247 if you need a stable reference for MR. WILLIAM TYSON SELLERS (PT).
Is MR. WILLIAM TYSON SELLERS (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. WILLIAM TYSON SELLERS (PT)'s specialty in plain language?
Clinically, the directory lists MR. WILLIAM TYSON SELLERS (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. WILLIAM TYSON SELLERS (PT) practice in Texas?
You will see Vidor, Texas on file for MR. WILLIAM TYSON SELLERS (PT) alongside any extra practice locations.
Is MR. WILLIAM TYSON SELLERS (PT) a real provider?
This page reflects official NPPES data for NPI 1104001247. Always confirm identity and privileges with the practice and licensing boards.

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