Organization Active NPI

Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Brunswick, ME
National Provider Identifier
1013977818
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SELECT PHYSICAL THERAPY HOLDINGS INC
Practice address
120 Harpswell Rd
Brunswick, ME 04011-3124
Phone
(207) 729-4998
NPI assigned
Mar 24, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

120 Harpswell Rd
Brunswick, ME 04011-3124

Mailing address

120 Harpswell Rd
Brunswick, ME 04011-3124
Phone (207) 729-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206001166 DC Part B Supplier - Clinic/Group Practice 9537076401 Receives reassigned benefits from 6 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Silver Spring, MD

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

154 Main St
Bridgton, ME 04009
Phone (207) 647-2440

120 Harpswell Rd
Brunswick, ME 04011
Phone (207) 729-4998

325 US Route 1
Falmouth, ME 04105
Phone (207) 781-2741

65 Portland Rd
Unit B
Kennebunk, ME 04043
Phone (207) 849-5041

49 Spring St
Ste B
Scarborough, ME 04074

105 Topsham Fair Mall Rd
Topsham, ME 04086
Phone (207) 295-8090

15 Winners Cir
Ste B
Topsham, ME 04086
Phone (207) 481-9031

45 Wells Plz
Unit 10
Wells, ME 04090
Phone (207) 641-2292

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1013977818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HARPSWELL RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113124",
            "telephone_number": "207-729-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HARPSWELL RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113124",
            "telephone_number": "207-729-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.