Active NPI
Select Physical Therapy Holdings Inc
- Rehabilitation Clinic/Center
- South Bend, IN
National Provider Identifier
1184669194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY HOLDINGS INC
- Practice address
- 401 E Colfax Ave
Commerce Center - Ste 102
South Bend, IN 46617-2737 - Phone
- (574) 234-1059
- NPI assigned
- Jun 17, 2006
- Last updated
- Sep 1, 2010
- Organization subpart
- No
NPPES NPI Registry
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) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
401 E Colfax Ave
Commerce Center - Ste 102
South Bend, IN 46617-2737
Mailing address
401 E Colfax Ave
Commerce Center - Ste 102
South Bend, IN 46617-2737
Phone (574) 234-1059
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Select Specialty Hospital - Birmingham
- Long Term Care Hospital
- Birmingham, AL
- NPI 1487652616
Member Of
-
dba Select Specialty Hospital - Miami
- Long Term Care Hospital
- Miami, FL
- NPI 1174523815
Member Of
Locations
401 E Colfax Ave
Ste 102
South Bend, IN 46617
Phone (574) 234-1059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283299200000",
"number": "1184669194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E COLFAX AVE",
"address_2": "COMMERCE CENTER - STE 102",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172737",
"telephone_number": "574-234-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E COLFAX AVE",
"address_2": "COMMERCE CENTER - STE 102",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172737",
"telephone_number": "574-234-1059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2010-09-01",
"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": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.