Select Physical Therapy Baptist Rehabilitation Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SELECT PHYSICAL THERAPY BAPTIST REHABILITATION CENTER LLC

Practice address

635 McQueen Smith Rd N
Ste D
Prattville, AL 36066

Phone

(334) 365-8063

Fax

(334) 365-7905

NPI assigned

Mar 14, 2006

Reactivated

Dec 13, 2007

Last updated

Jul 22, 2009By 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

Michael E Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1346219235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-975-9503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MCQUEEN SMITH RD N",
            "address_2": "STE D",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36066",
            "telephone_number": "334-365-8063",
            "fax_number": "334-365-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY BAPTIST REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-07-22",
        "deactivation_date": "2007-10-29",
        "reactivation_date": "2007-12-13",
        "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": "717-975-4503"
    },
    "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": []
}

• Tanisha Laterrese Scott-Fenderson, LMT
• Julie Scott
• Rylee Scully
• James Shelby Searcy, ATC
• Julie Marla Sears, CRNP-BC
• Sexton Holdings, LLC (Fyzical Therapy & Balance Centers)
• Sanjiv A Shah, M.D.
• Sharpes Home Medical Equipment (ProHealth Medical)
• Timothy Chase Shelton, PHARM.D.
• Aaron T. Shinkle, M.D.

• Physical Therapy Clinic/Center in Prattville, AL
• Providers in Prattville, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.