Active NPI
Select Physical Therapy Holdings Inc
- Physical Therapy Clinic/Center
- Birmingham, AL
National Provider Identifier
1013986967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY HOLDINGS INC
- Practice address
- 4517 Southlake Parkway
Birmingham, AL 35244 - Phone
- (717) 975-4503
- Fax
- (717) 975-9981
- NPI assigned
- Mar 14, 2006
- Reactivated
- Jan 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Tarvin
- Title
- Vice President
- Phone
- (717) 975-4503
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | AL | Primary | |
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
4517 Southlake Parkway
Birmingham, AL 35244
Mailing address
4716 Old Gettysburg Rd
Mechanicsburg, PA 17055
Phone (717) 975-4503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Physical Therapy Clinic/Center
- Trussville, AL
- NPI 1003842352
O20171206001166
-
- Physical Therapy Clinic/Center
- Muscle Shoals, AL
- NPI 1013986942
O20171206001166
-
- Rehabilitation Clinic/Center
- Brunswick, ME
- NPI 1013977818
O20171206001166
-
- Rehabilitation Clinic/Center
- Bedford, NH
- NPI 1023078540
O20171206001166
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1861460917
O20171206001166
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1013986967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 OLD GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "17055",
"telephone_number": "717-975-4503",
"fax_number": "717-975-9981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4517 SOUTHLAKE PARKWAY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35244",
"telephone_number": "717-975-4503",
"fax_number": "717-975-9981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2008-01-11",
"deactivation_date": "2007-12-03",
"reactivation_date": "2008-01-11",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-975-4503"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AL",
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
- Balasundaram Chandra Sekar, M.D.
- Marleigh Ruth Selby
- Griffin Tyler Selch, MD
- Lindsay Selden, CCC-SLP
- Select Medical Systems, Inc.
- Select Physical Therapy Holdings Inc
- Select Physical Therapy of Birmingham LTD
- Select Physical Therapy of Birmingham LTD
- Select Provider Networks, Inc.
- Select Specialty Hospitals Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.