Select Medical Rehabilitation Clinics Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SELECT MEDICAL REHABILITATION CLINICS INC

Doing business as

Select Physical Therapy

Practice address

6678 US Highway 6
Portage, IN 46368-5117

Phone

(219) 762-0821

Fax

(219) 763-3637

NPI assigned

Jun 16, 2005

Last updated

Dec 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E. Tarvin

Title

Vice President

Phone

(717) 972-1100

Specialties & licenses 2

Addresses

Other names 1

• Select Physical Therapy Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225033202. Details of each certification follow.

• CCN 156578 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 156578

Legal name

RUSH PHYSICAL THERAPY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 10, 1995

Last certification

Dec 17, 2025

Ownership / control type

Proprietary

Most recent change of ownership

Dec 31, 2020

Facility address

6678 US Hwy 6
Portage, IN 46368

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Select Specialty Hospitals Inc

  dba Select Specialty Hospital - Birmingham

  • Long Term Care Hospital
  • Birmingham, AL
  • NPI 1487652616

  Member Of

  NPD member

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1225033202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "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": "6678 US HIGHWAY 6",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685117",
            "telephone_number": "219-762-0821",
            "fax_number": "219-763-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL REHABILITATION CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarina Schreiber
• Joel Schwartz, PH.D.
• Leslie Michelle Scott, RDH OMT
• Joyce Scully
• Secure Dental VII (Secure Dental Portage)
• Faizuddin Shareef, D.O
• Ashhad Sharif
• Emily C Shelton, CADC, CRSS
• Ashvin O Sheth, MSW
• Shifting Tides, LLC

• Rehabilitation Clinic/Center in Portage, IN
• Providers in Portage, IN by specialty
• Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.