Active NPI
Physiotherapy Associates Inc
Doing business as Select Physical Therapy
- Rehabilitation Clinic/Center
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Doing business as
- Select Physical Therapy
- Practice address
- 11212 Sunrise Blvd E
Suite 202
Puyallup, WA 98374-8847 - Phone
- (253) 435-0360
- Fax
- (253) 435-0325
- NPI assigned
- Jun 5, 2006
- Last updated
- Oct 24, 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
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Rehabilitation Clinic/Center | 261QR0400X | NU | Primary |
Addresses
Primary practice location
11212 Sunrise Blvd E
Suite 202
Puyallup, WA 98374-8847
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7095086 | Medicaid | WA | |
| 34780 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Select Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426001842 | WA | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3577470442 | Practice locations: Puyallup, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386683795. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 506569
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
- Oct 21, 1997
- Last certification
- Feb 15, 2022
- Ownership / control type
- Proprietary
- Facility address
- 11212 Sunrise Boulevard, Suite #202
Puyallup, WA 98374
National Provider Directory
National Provider DirectoryLocations
11212 Sunrise Blvd E
Ste 202
Puyallup, WA 98374
Phone (253) 435-0360
Ownership & related parties
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ohiohealth Rehabilitation Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2023 |
| Dignity Health Rehabilitation Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (19.5%) | May 13, 2019 |
| Rush Specialty Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2024 |
| Rush Specialty Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2024 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761264000000",
"number": "1386683795",
"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": "11212 SUNRISE BLVD E",
"address_2": "SUITE 202",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983748847",
"telephone_number": "253-435-0360",
"fax_number": "253-435-0325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7095086",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "34780",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.