NPIMap

Organization Active NPI

Select Specialty Hospital - Memphis Inc

  • Long Term Care Hospital
  • Memphis, TN
National Provider Identifier
1780684423
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
0000000147 Issued in TN
Legal business name
SELECT SPECIALTY HOSPITAL - MEMPHIS INC
Practice address
1265 Union Avenue
2ND, 4TH, and 5TH Floors
Memphis, TN 38104
Phone
(901) 684-4110
Fax
(901) 684-1277
NPI assigned
Jul 22, 2005
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
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 0000000147 TN Primary

Addresses

Primary practice location

1265 Union Avenue
2ND, 4TH, and 5TH Floors
Memphis, TN 38104

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726001383 TN Part A Provider - Hospital 0840260188 Practice locations: Memphis, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780684423. Details of each certification follow.

Hospital certification: CCN 442014

Legal name
SELECT SPECIALTY HOSPITAL - MEMPHIS, INC.
Doing business as
SELECT SPECIALTY HOSPITAL - MEMPHIS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Dec 1, 1997
Last certification
Feb 18, 1999
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 23, 1998 in DE
Enrollment address
1265 Union Ave
FL 10
Memphis, TN 38104-3415
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital MemphisCCN 442014 · All quality measures
Ownership
For profit
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0927731Select Specialty Hospital-Memphis, Inc1265 Union Avenue, 10TH Floor, Thomas Wing, Memphis, TN 38104AccreditationJul 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Select Specialty Hospital - Memphis 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 1

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

Locations

1265 Union Ave
Fl 10
Memphis, TN 38104
Phone (901) 545-6240

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA Corporation 5% Or Greater Direct Ownership Interest Dec 10, 1996 100%
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 10, 1996 100%
Operational/Managerial Control Dec 10, 1996 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
John Saich Individual Corporate Officer Sep 4, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 23, 1998 100%
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Jul 26, 2004
Corporate Director Sep 4, 2025
Mary Carroll Individual Corporate OfficerCeo May 6, 2024
W-2 Managing EmployeeAd; May 6, 2024
Operational/Managerial ControlCeo May 6, 2024

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 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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1780684423",
    "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": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVENUE",
            "address_2": "2ND, 4TH, AND 5TH FLOORS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-684-4110",
            "fax_number": "901-684-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - MEMPHIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "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": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "TN",
            "license": "0000000147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.