NPIMap

Organization Active NPI

Madison Rehabilitation Center Inc

Doing business as Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Madison, CT
National Provider Identifier
1750350245
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MADISON REHABILITATION CENTER INC
Doing business as
Select Physical Therapy
Practice address
1291 Boston Post Rd
Madison, CT 06443-3476
Phone
(203) 245-0001
Fax
(203) 245-8930
NPI assigned
Mar 16, 2006
Reactivated
Dec 13, 2007
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
John D Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X CT Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

1291 Boston Post Rd
Madison, CT 06443-3476

Mailing address

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

Other names 1

  • Select Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040612000691 CT Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 8628051299 Practice locations: Durham, CT; Madison, CT; Wethersfield, CT
O20210119000401 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628051299 Receives reassigned benefits from 21 practitioners
Practice locations: Wethersfield, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750350245. Details of each certification follow.

  • CCN 076559 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 076559

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT PHYSICAL THERAPY OF CT
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 1, 1996
Last certification
Aug 12, 2024
Ownership / control type
Proprietary
Facility address
1291 Boston Post Road, Suite 108
Madison, CT 06443

National Provider Directory

National Provider Directory
Tax ID family
Madison Rehabilitation Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 3

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Ptsma, Inc.

    dba Select Physical Therapy

    • Physical Therapy Clinic/Center
    • Pawcatuck, CT
    • NPI 1033773759

    Member Of

    NPD member

Locations

1291 Boston Post Rd
Ste 108
Madison, CT 06443
Phone (203) 245-0001

141 Durham Rd
Ste 14
Madison, CT 06443
Phone (203) 245-0001

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1750350245",
    "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",
            "fax_number": "717-975-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433476",
            "telephone_number": "203-245-0001",
            "fax_number": "203-245-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "deactivation_date": "2007-11-07",
        "reactivation_date": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "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 Madison, CT

Sources for this page

Verify at the official NPI Registry.