Active NPI
Select Medical Rehabilitation Clinics, Inc.
Doing business as Select Physical Therapy
- Rehabilitation Clinic/Center
- Demotte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SELECT MEDICAL REHABILITATION CLINICS, INC.
- Doing business as
- Select Physical Therapy
- Practice address
- 401 15TH St SE Ste 12
Demotte, IN 46310-9379 - Phone
- (219) 987-3073
- Fax
- (219) 987-3071
- NPI assigned
- May 21, 2019
- Last updated
- May 21, 2019
- 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
- Michael Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
401 15TH St SE Ste 12
Demotte, IN 46310-9379
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names 1
- Select Physical Therapy
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Select Specialty Hospital - Birmingham
- Long Term Care Hospital
- Birmingham, AL
- NPI 1487652616
Member Of
Locations
9150 E 109th Ave
Ste 1D
Crown Point, IN 46307
Phone (219) 363-6051
1900 S Heaton St
Knox, IN 46534
Phone (574) 772-2980
1300 Lincolnway
Valparaiso, IN 46383
Phone (219) 462-4193
1306 Lincolnway
Valparaiso, IN 46383
Phone (219) 462-4193
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Hammond, IN
- NPI 1972551273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558396800000",
"number": "1750948261",
"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": "401 15TH ST SE STE 12",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463109379",
"telephone_number": "219-987-3073",
"fax_number": "219-987-3071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT MEDICAL REHABILITATION CLINICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Demotte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.