Active NPI
Select Physical Therapy Texas Limited Partnership
- Rehabilitation Clinic/Center
- Georgetown, TX
National Provider Identifier
1114436359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP
- Practice address
- 4112 Williams Dr Ste 103
Georgetown, TX 78628-1336 - Phone
- (512) 763-8020
- Fax
- (512) 763-8024
- NPI assigned
- Sep 20, 2017
- Organization subpart
- Yes
- Parent organization
- SELECT MEDICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael E Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
4112 Williams Dr Ste 103
Georgetown, TX 78628-1336
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names 1
- Select Physical Therapy
National Provider Directory
National Provider Directory- Part of
- Select Medical Corporation
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Salisbury, NC
- NPI 1417223926
Member Of
Locations
4112 Williams Dr
Ste 103
Georgetown, TX 78628
Phone (512) 763-8020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505865600000",
"number": "1114436359",
"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": "4112 WILLIAMS DR STE 103",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281336",
"telephone_number": "512-763-8020",
"fax_number": "512-763-8024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SELECT MEDICAL",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.