Select Physical Therapy Holdings, Inc.
Organization Active NPI Physical Therapy Clinic/Center · Middletown, MD
NPI 1689344079 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1689344079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- SELECT PHYSICAL THERAPY HOLDINGS, INC.
- Practice address
- 205 S Church St Ste B
Middletown, MD 21769-8144 - Phone
- (301) 371-8121
- NPI assigned
- Sep 16, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- SELECT MEDICAL CORPORATION
Authorized official
- Name
- John F Duggan
- Title
- Chief Legal Officer
- Phone
- (717) 972-1100
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 5
Practitioners 2
-
Benjamin Hayes, DPT
-
Grant Charles Jacobs, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000324 | MD | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9537076401 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frederick, MD; Gaithersburg, MD; Mitchellville, MD; Silver Spring, MD |
| O20040806001003 | MD | Part B Supplier - Clinic/Group Practice | 9537076401 |
Receives reassigned benefits from 22 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Frederick, MD; Salisbury, MD; Middletown, MD; Ijamsville, MD |
National Provider Directory
- Part of
- Select Medical Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
205 S Church St Ste B
Middletown, MD 21769-8144
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names
- NovaCare Rehabilitation
Other providers in Middletown, MD
- James Lloyd Roessler
- Rudman & Kane PA
- Fred Louis Rudman
- Michael Stephen Rudman
- Jennifer Leggieri Schmiel
- Benjamin Shin
- Joseph Steven Sidney
- Bridget Simmons
- South Mountain Counseling Services, LLC
- Jamison Allyn Strachan
All providers in Middletown, MD · Physical Therapy Clinic/Center in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.