NPIMap

Organization Active NPI

Select Specialty Hospital - Miami Lakes Inc.

  • Long Term Care Hospital
  • Miami Lakes, FL
National Provider Identifier
1730643131
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - MIAMI LAKES INC.
Practice address
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Phone
(786) 609-9200
NPI assigned
Jan 30, 2019
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Duggan
Title
VP
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

14001 NW 82ND Ave
Miami Lakes, FL 33016-1561

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120830000782 FL Part B Supplier - Clinic/Group Practice 0749437481 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Miami Lakes, FL; Miami, FL; Hialeah, FL
O20190522000933 FL Part A Provider - Hospital 0749523389 Practice locations: Miami Lakes, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730643131. Details of each certification follow.

Hospital certification: CCN 102031

Legal name
SELECT SPECIALTY HOSPITAL - MIAMI LAKES, INC.
Doing business as
SELECT SPECIALTY HOSPITAL - MIAMI LAKES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2016
Last certification
Sep 2, 2020
Beds
60
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2019 in DE
Enrollment address
14001 NW 82ND Ave
Miami Lakes, FL 33016-1561
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital-Miami LakesCCN 102031 · All quality measures
Ownership
For profit
Certified
Apr 1, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Beds
60

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 NW 12th Ave
#U
Miami, FL 33136
Phone (305) 547-2255

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Monica Madrigal Individual Corporate OfficerCeo Mar 7, 2020
W-2 Managing EmployeeCeo Mar 7, 2022
Operational/Managerial ControlCeo Mar 7, 2022
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Apr 3, 2019 100%
Operational/Managerial Control Apr 3, 2019 100%
Thomas Mullin Individual Corporate Officer Sep 3, 2025
John Saich Individual Corporate Officer Sep 3, 2025
Robert Breighner Individual W-2 Managing EmployeeComliance Officer Sep 3, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 3, 2019 100%
Michael Malatesta Individual Corporate Officer Sep 3, 2025
Robert Kido Individual Corporate Officer Sep 3, 2025
John Duggan Individual Corporate Officer Apr 3, 2019
Corporate Director Sep 3, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1730643131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 NW 82ND AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161561",
            "telephone_number": "786-609-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - MIAMI LAKES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.