NPIMap

Organization Active NPI

Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Carbondale, IL
National Provider Identifier
1508465253
Registry record updated Sep 25, 2025
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
2421 W Main St Ste a
Carbondale, IL 62901-1039
Phone
(618) 529-3201
Fax
(618) 529-3219
NPI assigned
Oct 23, 2020
Organization subpart
Yes
Parent organization
SELECT MEDICALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
John F Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Other NPIs on the same Medicare enrollment 6

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180808002894 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537076401 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Marion, IL
O20210113002099 IL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9537076401 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Centralia, IL

National Provider Directory

National Provider Directory
Tax ID family
Select Phyl Thpy Hold Inc169 organizations share this tax ID, including this one
Part of
Select Medical Corporation

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

2421 W Main St Ste a
Carbondale, IL 62901-1039

Mailing address

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

Other names 1

NPPES NPI Registry
  • NovaCare Rehabilitation Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2025.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1508465253",
    "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": "2421 W MAIN ST STE A",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011039",
            "telephone_number": "618-529-3201",
            "fax_number": "618-529-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.