Active NPI
Select Physical Therapy Holdings Inc
- Rehabilitation Clinic/Center
- Hollywood, FL
National Provider Identifier
1366411670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Salisbury, NC
- NPI 1417223926
Member Of
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.