Organization Active NPI

Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Hollywood, FL
National Provider Identifier
1366411670
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SELECT PHYSICAL THERAPY HOLDINGS INC
Practice address
3325 Hollywood Blvd
Ste 200
Hollywood, FL 33021-6999
Phone
(954) 986-2299
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

3325 Hollywood Blvd
Ste 200
Hollywood, FL 33021-6999

Mailing address

3325 Hollywood Blvd
Ste 200
Hollywood, FL 33021-6999
Phone (954) 986-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 106833

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT PHYSICAL THERAPY
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Nov 8, 1993
Last certification
Aug 28, 2023
Ownership / control type
Proprietary
Most recent change of ownership
Nov 3, 1997
Facility address
3325 Hollywood Blvd, Ste 200
Hollywood, FL 33021

National Provider Directory

National Provider Directory

Member of 3

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

Locations

3325 Hollywood Blvd
Ste 200
Hollywood, FL 33021
Phone (954) 986-0339

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1366411670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD",
            "address_2": "STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216999",
            "telephone_number": "954-986-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD",
            "address_2": "STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216999",
            "telephone_number": "954-986-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.