NPIMap

Organization Active NPI

Douglas Avery & Associates LTD

Doing business as Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Bowling Green, VA
National Provider Identifier
1194725747
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DOUGLAS AVERY & ASSOCIATES LTD
Doing business as
Select Physical Therapy
Practice address
121 Courthouse Lane
Bowling Green, VA 22427
Phone
(804) 633-1232
Fax
(804) 633-6032
NPI assigned
Jul 26, 2005
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X VA Primary

Addresses

Primary practice location

121 Courthouse Lane
Bowling Green, VA 22427

Mailing address

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

Other names 1

  • Select Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000556 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3971412818 Practice locations: Bowling Green, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194725747. Details of each certification follow.

  • CCN 496602 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 496602

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
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 15, 1993
Last certification
May 9, 2023
Ownership / control type
Proprietary
Most recent change of ownership
Feb 1, 2004
Facility address
121 Courthouse Lane - PO Box 877
Bowling Green, VA 22427

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Douglas Avery Associates LTD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1194725747",
    "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": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COURTHOUSE LANE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "22427",
            "telephone_number": "804-633-1232",
            "fax_number": "804-633-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS AVERY & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "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": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowling Green, VA

Sources for this page

Verify at the official NPI Registry.