Select Physical Therapy Holdings

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SELECT PHYSICAL THERAPY HOLDINGS

Practice address

470 Mall Blvd
Ste D
Dyersburg, TN 38024-1648

Phone

(731) 287-9710

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Michael Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114976305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MALL BLVD",
            "address_2": "STE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241648",
            "telephone_number": "731-287-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MALL BLVD",
            "address_2": "STE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241648",
            "telephone_number": "731-287-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Santaniello, PHARM.D.
• Russell G Scara, MD
• Erica D Scheffer, MD
• Elizabeth Schultz, OT
• Heather Scullin Schulze, PHARM D
• Scott Jeffrey Self, DDS
• Shelley S Seratt, OT
• Emma Sue Sherrow, RN
• Ashley Shook, LPN
• Krislyn Sills, DDS

• Rehabilitation Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.