Active NPI
Select Physical Therapy Holdings, Inc.
- Physical Therapy Clinic/Center
- Centralia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY HOLDINGS, INC.
- Practice address
- 1138 W McCord St
Centralia, IL 62801-5603 - Phone
- (717) 972-1100
- NPI assigned
- Apr 22, 2022
- Last updated
- Sep 25, 2025
- 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
- John F Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
1138 W McCord St
Centralia, IL 62801-5603
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180808002894 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9537076401 |
Receives reassigned benefits from 13 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Marion, IL |
| O20210113002099 | IL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9537076401 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Centralia, IL |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1942475488
O20180808002894
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Mount Vernon, IL
- NPI 1083213730
O20180808002894, O20210113002099
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Marion, IL
- NPI 1386243020
O20180808002894
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1508465253
O20180808002894, O20210113002099
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- West Frankfort, IL
- NPI 1962001610
O20180808002894, O20210113002099
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Benton, IL
- NPI 1992352215
O20180808002894, O20210113002099
National Provider Directory
National Provider DirectoryPractitioners & 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
- Carbondale, IL
- NPI 1255420881
-
- Physical Therapist
- Salem, IL
- NPI 1295512614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1285378638",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 W MCCORD ST",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "628015603",
"telephone_number": "717-972-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY HOLDINGS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-22",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.