Organization Active NPI

Select Specialty Hospital Dallas Inc

  • Long Term Care Hospital
  • Plano, TX
National Provider Identifier
1063411239
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
000672T Issued in TX
Legal business name
SELECT SPECIALTY HOSPITAL DALLAS INC
Practice address
1100 Allied Dr FL 4
Plano, TX 75093-5348
Phone
(972) 884-2441
Fax
(972) 884-2467
NPI assigned
Jul 19, 2005
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
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 000672T TX Primary

Addresses

Primary practice location

1100 Allied Dr FL 4
Plano, TX 75093-5348

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HH0895OtherTXBCBS TX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726001205 TX Part A Provider - Hospital 9032189345 Practice locations: Desoto, TX; Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063411239. Details of each certification follow.

Hospital certification: CCN 452022

Legal name
SELECT SPECIALTY HOSPITAL DALLAS INC
Doing business as
SELECT SPECIALTY HOSPITAL- DALLAS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 30, 1991
Last certification
Jul 10, 2025
Beds
60
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 23, 1998 in DE
Enrollment address
1100 Allied Dr
FL 4
Plano, TX 75093-5348
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital-DallasCCN 452022 · All quality measures
Ownership
For profit
Certified
Nov 30, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Beds
60

National Provider Directory

National Provider Directory
Tax ID family
Select Specialty Hospital Dallas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations

2700 Walker Way
Desoto, TX 75115
Phone (972) 283-5284

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jun 23, 1998 100%
Misti Varnell Individual Corporate OfficerCeo Nov 22, 2021
W-2 Managing EmployeeCeo Nov 22, 2021
Operational/Managerial ControlCeo Nov 22, 2021
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 1996 100%
Operational/Managerial Control Dec 10, 1996 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
Darrell Patak Individual Corporate OfficerSatellite Ceo Mar 6, 2026
W-2 Managing EmployeeSatellite Ceo Mar 6, 2026
Operational/Managerial ControlSatellite Ceo Mar 6, 2026
John Saich Individual Corporate Officer Sep 4, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jun 23, 1998 100%
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Jul 26, 2004
Corporate Director Sep 4, 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

Practitioners 5

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.

Affiliated clinicians 10

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1063411239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALLIED DR FL 4",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935348",
            "telephone_number": "972-884-2441",
            "fax_number": "972-884-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL DALLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TX",
            "license": "000672T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "HH0895",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.