Active NPI
Select Cal Physical Therapy PC
- Physical Therapy Clinic/Center
- Stockton, CA
National Provider Identifier
1558023143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT CAL PHYSICAL THERAPY PC
- Practice address
- 707 Lincoln Ctr
Stockton, CA 95207-2644 - Phone
- (209) 478-3900
- NPI assigned
- Oct 11, 2021
- 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
- Allen D Carpenter
- Title
- Vice President
- Phone
- (415) 989-0955
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
707 Lincoln Ctr
Stockton, CA 95207-2644
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names 1
- Select Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220401000572 | CA | Part B Supplier - Clinic/Group Practice | 4789070699 |
Receives reassigned benefits from 202 practitioners This NPI is an additional NPI on the enrollment Practice locations: Salinas, CA; Palo Alto, CA; Sacramento, CA; Roseville, CA; Rohnert Park, CA; Rocklin, CA; Riverside, CA; Redwood City, CA… |
National Provider Directory
National Provider Directory- Tax ID family
- Novacare Rehabilitation
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Cecilton, MD
- NPI 1265532048
-
- Rehabilitation Clinic/Center
- Havre de Grace, MD
- NPI 1861590655
-
- Physical Therapy Clinic/Center
- Havre de Grace, MD
- NPI 1821711193
-
- Physical Therapy Clinic/Center
- Elkton, MD
- NPI 1871373621
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Stockton, CA
- NPI 1063052173
-
- Physical Therapist
- Evergreen, CO
- NPI 1326296484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1558023143",
"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": "707 LINCOLN CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072644",
"telephone_number": "209-478-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT CAL PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-11",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "CARPENTER",
"authorized_official_first_name": "ALLEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "415-989-0955"
},
"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": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.