Select Physical Therapy Holdings Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SELECT PHYSICAL THERAPY HOLDINGS INC

Practice address

620 Essex St
Harrison, NJ 07029

Phone

(973) 483-6159

Fax

(973) 483-6409

NPI assigned

Jun 25, 2006

Reactivated

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Michael E Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1790711208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 OLD GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-975-4503",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ESSEX ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "07029",
            "telephone_number": "973-483-6159",
            "fax_number": "973-483-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-12-13",
        "deactivation_date": "2007-10-29",
        "reactivation_date": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Samaan, NP
• Samith ABA Therapy LLC
• Samantha Alana Sampath, LMHC
• Sandra Shammas, LCSW, Lcadc, LLC
• Fatoumata Seck, LSW
• Kiewanda Shabazz-Henry, RN
• Sandra Shammas, LCSW, LCADC
• Shea Rehabilitation Services Inc.
• Joshua Silva, PTA
• Smith ABA Therapy

• Physical Therapy Clinic/Center in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.