NPIMap

Organization Active NPI

Select Specialty Hospital - Madison Inc

  • Rehabilitation Hospital Unit
  • Madison, WI
National Provider Identifier
1093535718
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SELECT SPECIALTY HOSPITAL - MADISON INC
Practice address
801 Braxton PL Ste 2
Madison, WI 53715-1415
Phone
(717) 972-1100
NPI assigned
Oct 16, 2024
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
VP
Phone
(717) 975-4503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

801 Braxton PL Ste 2
Madison, WI 53715-1415

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110113001123 WI Part B Supplier - Clinic/Group Practice 4486659505 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, WI
O20241122001477 WI Part A Provider - Hospital 4486659505 Practice locations: Madison, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093535718. Details of each certification follow.

Hospital certification: CCN 52TA08

Legal name
SELECT SPECIALTY HOSPITAL - MADISON INC
Doing business as
SELECT SPECIALTY HOSPITAL - MADISON
Organization structure
CorporationProprietary
Enrollment address
801 Braxton PL
Ste 2
Madison, WI 53715-1415
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Select Specialty Hospital MadisonCCN 52TA08 · All quality measures
Ownership
For profit
Certified
Jan 14, 2025

National Provider Directory

National Provider Directory

Locations

801 Braxton Pl
Fl 2
Madison, WI 53715
Phone (608) 256-9353

801 Braxton Pl
Ste 2
Madison, WI 53715
Phone (608) 260-2700

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, Chain home office 5% Or Greater Indirect Ownership Interest Jul 26, 2006 100%
Operational/Managerial Control Jul 26, 2006 100%
Thomas Mullin Individual Corporate Officer Sep 2, 2025
John Saich Individual Corporate Officer Sep 2, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 2, 2025
Sempercare, Inc. Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jul 26, 2006 100%
Michael Malatesta Individual Corporate Officer Sep 2, 2025
Robert Kido Individual Corporate Officer Sep 2, 2025
John Duggan Individual Corporate Officer Jul 26, 2006
Corporate Director Sep 2, 2025
Marc Trznadel Individual Corporate OfficerCeo Jan 8, 2024
W-2 Managing Employee Jan 8, 2024
Operational/Managerial ControlCeo Jan 8, 2024

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 16

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.

View all 16

Affiliated clinicians 1

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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1093535718",
    "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": "801 BRAXTON PL STE 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151415",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - MADISON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "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": "VP",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.