NPIMap

Organization Active NPI

Select Specialty Hospital - Orlando, Inc

  • Long Term Care Hospital
  • Orlando, FL
National Provider Identifier
1316947930
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4473 Issued in FL
Legal business name
SELECT SPECIALTY HOSPITAL - ORLANDO, INC
Practice address
5579 S Orange Ave
Orlando, FL 32809-3493
Phone
(407) 241-4800
Fax
(407) 241-0324
NPI assigned
Jul 26, 2005
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 4473 FL Primary

Addresses

Primary practice location

5579 S Orange Ave
Orlando, FL 32809-3493

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
139OtherFLBLUE CROSS FL
102003OtherMEDICARE
010339000MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030414000032 FL Part A Provider - Hospital 7618886524 1 other NPI on this enrollment
Practice locations: Orlando, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316947930. Details of each certification follow.

Hospital certification: CCN 102003

Legal name
SELECT SPECIALTY HOSPITAL - ORLANDO INC
Doing business as
SELECT SPECIALTY HOSPITAL ORLANDO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 1, 2004
Last certification
May 10, 2013
Beds
99
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Feb 6, 2002 in DE
Enrollment address
5579 South Orange Avenue
Orlando, FL 32809-3493
Main/Primary Hospital Location
Hospital subgroups
Long-term, Rehabilitation

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Orlando (South Campus)CCN 102003 · All quality measures
Ownership
For profit
Certified
Jan 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
99

National Provider Directory

National Provider Directory
Tax ID family
Select Specialty Hospital -2 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.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2002 100%
Operational/Managerial Control Jan 1, 2005 100%
Thomas Mullin Individual Corporate Officer Oct 7, 2025
John Saich Individual Corporate Officer Oct 7, 2025
Jessica Daugherty Individual Corporate OfficerOnsite Ceo Aug 19, 2024
W-2 Managing EmployeeOnsite Ceo Aug 19, 2024
Operational/Managerial ControlOnsite Ceo Aug 19, 2024
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Oct 7, 2025
Sempercare, Inc. Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2002 100%
Michael Malatesta Individual Corporate Officer Apr 9, 2025
Robert Kido Individual Corporate Officer Oct 7, 2025
Marinella Castroman Individual Corporate OfficerCeo Oct 27, 2008
W-2 Managing EmployeeCeo Oct 27, 2008
Operational/Managerial ControlCeo Oct 27, 2008
John Duggan Individual Corporate Officer Feb 1, 2002
Corporate Director Oct 7, 2025

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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": "1757462400000",
    "number": "1316947930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "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": "5579 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093493",
            "telephone_number": "407-241-4800",
            "fax_number": "407-241-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - ORLANDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "FL",
            "license": "4473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FL",
            "identifier": "139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010339000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.