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Select Specialty Hospital - Daytona Beach, Inc.

Organization Active NPI Long Term Care Hospital · Daytona Beach, FL

NPI 1033536727 · NPPES record last updated Sep 10, 2025

Key facts

NPI
1033536727
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Hospital 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
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Member of 1

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

Facilities with the same owner 129

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

View all 129

Affiliated clinicians 9

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

Medicare Care Compare: Long-term care hospital

Listed as
Select Specialty Hospital Daytona Beach CCN 102030
Ownership
For profit
Certified
Dec 1, 2015
Medicare certification status
Active (Provider of Services file)
Beds
34

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

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
Corporation · Proprietary
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

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 Employee
Compliance 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 Officer
Ceo		 Mar 24, 2026
W-2 Managing Employee
Ad;		 Mar 24, 2026
Operational/Managerial Control
Ceo		 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

Medicare enrollment records

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

National Provider Directory

Locations

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

Specialties & licenses

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

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

Other providers in Daytona Beach, FL

All providers in Daytona Beach, FL · Long Term Care Hospital in Florida

Sources for this page

Verify at the official NPI Registry.