Organization Active NPI

Select Therapy and Rehabilitation Services

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1225010879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
FL 18303 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Select Therapy and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.