Select Physical Therapy of Birmingham LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SELECT PHYSICAL THERAPY OF BIRMINGHAM LTD

Practice address

553 Brookwood Village
Birmingham, AL 35209

Phone

(205) 871-4243

Fax

(205) 871-6808

NPI assigned

Jun 22, 2006

Reactivated

Jan 4, 2008

Organization subpart

No

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) 972-1100

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1023054418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 BROOKWOOD VILLAGE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-871-4243",
            "fax_number": "205-871-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY OF BIRMINGHAM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-08-31",
        "deactivation_date": "2007-11-20",
        "reactivation_date": "2008-01-04",
        "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": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin Tyler Selch, MD
• Lindsay Selden, CCC-SLP
• Select Medical Systems, Inc.
• Select Physical Therapy Holdings Inc
• Select Physical Therapy Holdings Inc
• Select Physical Therapy of Birmingham LTD
• Select Provider Networks, Inc.
• Select Specialty Hospitals Inc
• Crystal Gayle Self, CRNP
• Joshua David Self, MD

• Physical Therapy Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.