Select Physical Therapy Holdings, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SELECT PHYSICAL THERAPY HOLDINGS, INC.

Practice address

1204 Highway D
Van Buren, MO 63965

Phone

(573) 712-2280

NPI assigned

Sep 14, 2022

Organization subpart

Yes

Parent organization

SELECT MEDICALAs reported in NPPES

Name

Michael Tarvin

Title

Vice President

Phone

(717) 972-1100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio Mauricio Jr., PT

  • Physical Therapist
  • Poplar Bluff, MO
  • NPI 1992279830
  NPD

Tax ID family

Select Phyl Thpy Hold Inc169 organizations share this tax ID, including this one

Part of

Select Medical Corporation

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • St Louis, MO
  • NPI 1104917434
  NPD tax ID
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Dexter, MO
  • NPI 1124321625
  NPD tax ID
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Cape Girardeau, MO
  • NPI 1316907884
  NPD tax ID
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Bridgeton, MO
  • NPI 1437316551
  NPD tax ID
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Poplar Bluff, MO
  • NPI 1336869338
  NPD tax ID
• Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Saint Joseph, MO
  • NPI 1518927086
  NPD tax ID
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Independence, MO
  • NPI 1891184958
  NPD tax ID

• Select Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2022.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1073235271",
    "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": "170554325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HIGHWAY D",
            "city": "VAN BUREN",
            "state": "MO",
            "postal_code": "63965",
            "telephone_number": "573-712-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Lynn Potter
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• Jennifer Robertsonj, COTA/L
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• Richard Joseph Stephens Jr.
• Katherine Alice Swenson, FNP
• Gary Guy Tuttle, D.D.S.

• All providers in Van Buren, MO
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.