Active NPI
Select Physical Therapy Holdings Inc
- Physical Therapy Clinic/Center
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT PHYSICAL THERAPY HOLDINGS INC
- Practice address
- 405 Racetrack Rd NE
Ste 101
Fort Walton Beach, FL 32547-2561 - Phone
- (850) 863-4747
- Fax
- (850) 863-4658
- NPI assigned
- Mar 17, 2006
- Reactivated
- Jan 11, 2008
- 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
- John F Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | FL | Primary | |
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
405 Racetrack Rd NE
Ste 101
Fort Walton Beach, FL 32547-2561
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (717) 972-1100
Other practice location 1
1464 Tiger Park Ln Ste 2
Gulf Breeze, FL 32563-5718
Phone (850) 934-1833
Other practice location 2
931 US Highway 331 S Ste H
Defuniak Springs, FL 32435-3384
Phone (850) 892-7644
Other practice location 3
1008 Airport Rd Ste A
Destin, FL 32541-2822
Phone (850) 837-3349
Other names 1
- Select Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070608000022 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9537076401 |
1 other NPI on this enrollment Practice locations: Santa Rosa Beach, FL; Niceville, FL; Gulf Breeze, FL; Destin, FL; Fort Walton Beach, FL; Defuniak Springs, FL |
| O20161109002772 | FL | Part B Supplier - Clinic/Group Practice | 9537076401 |
Receives reassigned benefits from 14 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clermont, FL; Orlando, FL |
Outpatient physical therapy / speech pathology certification: CCN 106652
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
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Jun 11, 1986
- Last certification
- Feb 20, 2020
- Ownership / control type
- Proprietary
- Facility address
- 405 Racetrack Rd
Fort Walton Beach, FL 32547
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Ocoee, FL
- NPI 1417926700
O20161109002772
-
- Physical Therapy Clinic/Center
- Orlando, FL
- NPI 1629037452
O20161109002772
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1669441911
O20161109002772
-
- Physical Therapy Clinic/Center
- Port Orange, FL
- NPI 1982673216
O20161109002772
-
- Physical Therapy Clinic/Center
- Santa Rosa Beach, FL
- NPI 1649806787
O20070608000022, O20161109002772
-
- Physical Therapy Clinic/Center
- Clermont, FL
- NPI 1821684754
O20161109002772
-
- Rehabilitation Clinic/Center
- Orange Park, FL
- NPI 1932761079
O20161109002772
National Provider Directory
National Provider DirectoryLocations
931 US Highway 331 S
Ste H
Defuniak Springs, FL 32435
Phone (850) 892-7644
1008 Airport Rd
Ste A
Destin, FL 32541
Phone (850) 837-3349
405 Racetrack Rd NE
Ste 101
Fort Walton Beach, FL 32547
Phone (850) 863-4747
Ownership & related parties
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Baylor Institute for Rehabilitation at Fort Worth | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Mar 1, 2005 |
| SSM Health Rehabilitation Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | May 1, 2009 |
| Baylor Scott & White Institute for Rehabilitation | Hospital | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 |
| Ohiohealth Rehabilitation Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2023 |
| Baylor Scott & White Institute for Rehabilitation - Frisco | Hospital | 5% Or Greater Indirect Ownership Interest (100%) General Partnership Interest |
Apr 1, 2011 Apr 1, 2011 |
| Baylor Scott & White Institute for Rehabilitation | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2023 |
| Baylor Scott & White Institute for | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2023 |
| Baylor Scott & White Institute for Rehabilitation - Lakeway | Hospital | 5% Or Greater Indirect Ownership Interest (49%) | Jun 26, 2018 |
| Dignity Health Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (51%) | Apr 23, 2019 |
| Banner Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (51%) | Aug 1, 2020 |
| Rush Specialty Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2024 |
| Rush Specialty Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Jan 1, 2024 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1801865118",
"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": "17055",
"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": "405 RACETRACK RD NE",
"address_2": "STE 101",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325472561",
"telephone_number": "850-863-4747",
"fax_number": "850-863-4658"
}
],
"practiceLocations": [
{
"address_1": "1464 Tiger Park Ln Ste 2",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325635718",
"country_code": "US",
"telephone_number": "850-934-1833",
"fax_number": "850-934-1641",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "931 US Highway 331 S Ste H",
"address_purpose": "LOCATION",
"city": "Defuniak Springs",
"state": "FL",
"postal_code": "324353384",
"country_code": "US",
"telephone_number": "850-892-7644",
"fax_number": "850-892-0420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 Airport Rd Ste A",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325412822",
"country_code": "US",
"telephone_number": "850-837-3349",
"fax_number": "850-837-3158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"deactivation_date": "2007-12-03",
"reactivation_date": "2008-01-11",
"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": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"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 Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.