Organization Active NPI

Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1801865118
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Oct 13, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

FacilityTypeRoleSince
Baylor Institute for Rehabilitation at Fort WorthFort Worth, TX, CCN 673035 Hospital 5% Or Greater Indirect Ownership Interest (100%) Mar 1, 2005
SSM Health Rehabilitation HospitalRichmond Heights, MO, CCN 263031 Hospital 5% Or Greater Indirect Ownership Interest (100%) May 1, 2009
Baylor Scott & White Institute for RehabilitationDallas, TX, CCN 453036 Hospital 5% Or Greater Direct Ownership Interest Apr 1, 2011
Ohiohealth Rehabilitation HospitalColumbus, OH, CCN 363037 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2023
Baylor Scott & White Institute for Rehabilitation - FriscoFrisco, TX, CCN 673046 Hospital 5% Or Greater Indirect Ownership Interest (100%)
General Partnership Interest
Apr 1, 2011
Apr 1, 2011
Baylor Scott & White Institute for RehabilitationArlington, TX, CCN 45303600 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2023
Baylor Scott & White Institute forArlington, TX, CCN 45303601 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2023
Baylor Scott & White Institute for Rehabilitation - LakewayLakeway, TX, CCN 673058 Hospital 5% Or Greater Indirect Ownership Interest (49%) Jun 26, 2018
Dignity Health Rehabilitation HospitalHenderson, NV, CCN 293035 Hospital 5% Or Greater Direct Ownership Interest (51%) Apr 23, 2019
Banner Rehabilitation HospitalPhoenix, AZ, CCN 033042 Hospital 5% Or Greater Direct Ownership Interest (51%) Aug 1, 2020
Rush Specialty Hospital LLCChicago, IL, CCN 142015 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jan 1, 2024
Rush Specialty Hospital LLCChicago, IL, CCN 14TA15 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

Verify at the official NPI Registry.