Active NPI
Select Therapy and Rehabilitation Services
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1225010879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- FL 18303
- Legal business name
- SELECT THERAPY AND REHABILITATION SERVICES
- Practice address
- 3157 N University Dr
Suite 102
Pembroke Pines, FL 33024-2258 - Phone
- (954) 443-3996
- Fax
- (954) 443-3994
- NPI assigned
- Nov 18, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Matthew Robert Waggoner, PT, M.S., MTC
- Title
- Clinical Director
- Phone
- (954) 443-3996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | FL 18303 | FL | Primary |
Addresses
Primary practice location
3157 N University Dr
Suite 102
Pembroke Pines, FL 33024-2258
Mailing address
3157 N University Dr
Suite 102
Pembroke Pines, FL 33024-2258
Phone (954) 443-3996
Other names 1
- Select therapy and Rehab
National Provider Directory
National Provider Directory- Tax ID family
- Select Therapy and Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Tamarac, FL
- NPI 1265527436
Locations
3157 N University Dr
Ste 102
Pembroke Pines, FL 33024
Phone (954) 431-5330
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Tamarac, FL
- NPI 1124155445
-
- Physical Therapist
- Tamarac, FL
- NPI 1083816532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225010879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N UNIVERSITY DR",
"address_2": "SUITE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242258",
"telephone_number": "954-443-3996",
"fax_number": "954-443-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3157 N UNIVERSITY DR",
"address_2": "SUITE 102",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330242258",
"telephone_number": "954-443-3996",
"fax_number": "954-443-3994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT THERAPY AND REHABILITATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WAGGONER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "954-443-3996",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, M.S., MTC"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "FL 18303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select therapy and Rehab",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- 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.