NPIMap

Organization Active NPI

SSM Select Rehab St. Louis, LLC

Doing business as SSM Physical Therapy

  • Rehabilitation Practitioner
  • Breese, IL
National Provider Identifier
1740166347
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
SSM SELECT REHAB ST. LOUIS, LLC
Doing business as
SSM Physical Therapy
Practice address
380 S Germantown Rd
Breese, IL 62230-0027
Phone
(618) 526-9311
NPI assigned
Aug 12, 2025
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SELECT MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

380 S Germantown Rd
Breese, IL 62230-0027

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

Other names 1

  • SSM Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251203000719 IL Part B Supplier - Clinic/Group Practice 2567510449 Receives reassigned benefits from 2 practitioners
Practice locations: Breese, IL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
SSM Select Rehab St Louis LLC9 organizations share this tax ID, including this one
Part of
Select Medical Corporation

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Locations (25 of 60)

2346 Mascoutah Ave
Belleville, IL 62220
Phone (618) 277-6282

2627 Carlyle Ave
Belleville, IL 62221
Phone (314) 915-9821

3572 Solutions Ctr
Chicago, IL 60677

219 E Vandalia St
Edwardsville, IL 62025
Phone (618) 659-9666

15 Junction Dr
Glen Carbon, IL 62034
Phone (618) 288-6361

1901 Frank Scott Pkwy E
Shiloh, IL 62269
Phone (618) 624-7077

2649 N Illinois St
Swansea, IL 62226
Phone (618) 235-0514

4964 Benchmark Centre Dr
Swansea, IL 62226
Phone (618) 593-6469

2099 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 217-2211

11 Arnold Mall
Arnold, MO 63010
Phone (636) 282-0125

3920 Vogel Rd
Arnold, MO 63010
Phone (636) 245-0650

4 Arnold Mall
Arnold, MO 63010
Phone (636) 282-0056

12266 De Paul Dr
Ste 115
Bridgeton, MO 63044
Phone (314) 209-7700

3446 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 298-0353

16141 Swingley Ridge Rd
Ste 210
Chesterfield, MO 63017
Phone (636) 244-8248

355 Ozark Trail Dr
Ste 1
Ellisville, MO 63011
Phone (636) 207-2273

1330 Ymca Dr
Festus, MO 63028
Phone (636) 931-7600

3533 Dunn Rd
Ste 323
Florissant, MO 63033
Phone (314) 839-0002

637 Dunn Rd
Ste 140
Hazelwood, MO 63042
Phone (314) 731-4555

101 Civic Center Dr
Ste 111
Lake St Louis, MO 63367
Phone (314) 788-2225

2730 W Osage St
Pacific, MO 63069
Phone (636) 271-2390

1552 Country Club Plaza Dr
Ste 1570
Saint Charles, MO 63303
Phone (636) 724-1127

3789 New Town Blvd
Saint Charles, MO 63301
Phone (636) 669-2377

717 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 669-2345

1027 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 768-5202

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1740166347",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S GERMANTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622300027",
            "telephone_number": "618-526-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM SELECT REHAB ST. LOUIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "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": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.