NPIMap

Organization Active NPI

Select Physical Therapy of West Denver Limited Partnership

Doing business as Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Lakewood, CO
National Provider Identifier
1104895754
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SELECT PHYSICAL THERAPY OF WEST DENVER LIMITED PARTNERSHIP
Doing business as
Select Physical Therapy
Practice address
255 Union Blvd
Ste 110
Lakewood, CO 80228
Phone
(303) 232-0355
Fax
(303) 232-0411
NPI assigned
Mar 16, 2006
Reactivated
Feb 6, 2008
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SELECT MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CO Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

255 Union Blvd
Ste 110
Lakewood, CO 80228

Mailing address

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

Other practice location 1

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone (303) 674-1594

Other practice location 2

25577 Conifer Rd Unit 125
Conifer, CO 80433-9068
Phone (303) 838-7444

Other names 1

  • Select Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040217000661 CO Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6709771157 1 other NPI on this enrollment
Practice locations: Golden, CO; Lakewood, CO; Evergreen, CO
O20191022001159 CO Part B Supplier - Clinic/Group Practice 6709771157 Receives reassigned benefits from 92 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boulder, CO; Woodland Park, CO; Windsor, CO; Westminster, CO; Thornton, CO; Loveland, CO; Greeley, CO; Golden, CO…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104895754. Details of each certification follow.

  • CCN 066538 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 066538

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 PHYSICAL THERAPY - LAKEWOOD
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 26, 1983
Last certification
Aug 6, 2025
Ownership / control type
Proprietary
Facility address
255 Union Boulevard, Suite 110
Lakewood, CO 80228

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 13

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

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Select Physical Therapy22 organizations share this tax ID, including this one
Part of
Select Medical Corporation

Other organizations with this tax ID 21

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

View all 21

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1104895754",
    "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",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD",
            "address_2": "STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80228",
            "telephone_number": "303-232-0355",
            "fax_number": "303-232-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30940 Stagecoach Blvd # 110",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "CO",
            "postal_code": "804397984",
            "country_code": "US",
            "telephone_number": "303-674-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25577 Conifer Rd Unit 125",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804339068",
            "country_code": "US",
            "telephone_number": "303-838-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY OF WEST DENVER LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "deactivation_date": "2007-12-07",
        "reactivation_date": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "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": "CO",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.