NPIMap

Organization Active NPI

Select Specialty Hospital - Daytona Beach, Inc.

  • Long Term Care Hospital
  • Daytona Beach, FL
National Provider Identifier
1033536727
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - DAYTONA BEACH, INC.
Practice address
301 Memorial Medical Pkwy
11TH Floor
Daytona Beach, FL 32117-5167
Phone
(386) 231-3470
NPI assigned
Mar 20, 2014
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

301 Memorial Medical Pkwy
11TH Floor
Daytona Beach, FL 32117-5167

Mailing address

4714 Gettysburg Rd
Legal Department
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150121001665 FL Part A Provider - Hospital 1951625995 Practice locations: Daytona Beach, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1033536727. Details of each certification follow.

Hospital certification: CCN 102030

Legal name
SELECT SPECIALTY HOSPITAL - DAYTONA BEACH, INC.
Doing business as
SELECT SPECIALTY HOSPITAL - DAYTONA BEACH
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Dec 1, 2015
Last certification
Dec 2, 2015
Beds
34
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2013 in DE
Enrollment address
301 Memorial Medical Parkway
11TH Floor
Daytona Beach, FL 32117-5167
Main/Primary Hospital Location
Hospital subgroups
Acute care, Long-term

Hospital certification: CCN 100325

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT SPECIALTY HOSPITAL-DAYTONA BEACH
Certification status
Terminated Voluntary: merger or closure, Nov 30, 2015
Provider type (POS)
Hospital – Short-term
Participating since
Sep 30, 2015
Last certification
Sep 30, 2015
Beds
34
Ownership / control type
Private (for profit)
Facility address
301 Memorial Medical Parkway
Daytona Beach, FL 32117

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital Daytona BeachCCN 102030 · All quality measures
Ownership
For profit
Certified
Dec 1, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Beds
34

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2091021Select Specialty Hospital - Daytona Beach Inc301 Memorial Medical Parkway, Daytona Beach, FL 32117AccreditationJun 23, 2027
10D2091024Select Specialty Hospital - Daytona Beach301 Memorial Medical Parkway 11TH Floor, Daytona Beach, FL 32117Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

301 Memorial Medical Pkwy
Fl 11
Daytona Beach, FL 32117
Phone (386) 231-3470

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2015 100%
Operational/Managerial Control Apr 1, 2015 100%
Thomas Mullin Individual Corporate Officer Sep 8, 2025
John Saich Individual Corporate Officer Sep 8, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 8, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2015 100%
Tammy Ratliff Individual Corporate OfficerCeo Mar 24, 2026
W-2 Managing EmployeeAd; Mar 24, 2026
Operational/Managerial ControlCeo Mar 24, 2026
Michael Malatesta Individual Corporate Officer Sep 8, 2025
Robert Kido Individual Corporate Officer Sep 8, 2025
John Duggan Individual Corporate Officer Apr 1, 2015
Corporate Director Sep 8, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1033536727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "address_2": "11TH FLOOR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - DAYTONA BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.