NPIMap

Organization Active NPI

BHSM Rehabilitation, LLC

  • Rehabilitation Hospital
  • Phoenix, AZ
National Provider Identifier
1851921571
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
BHSM REHABILITATION, LLC
Practice address
775 E Willetta St
Phoenix, AZ 85006-2723
Phone
(717) 972-1100
NPI assigned
Jan 22, 2020
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
John Duggan
Title
VP
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

775 E Willetta St
Phoenix, AZ 85006-2723

Mailing address

4714 Gettysburg Rd
Attn Melanie Notario
Mechanicsburg, PA 17055
Phone (717) 972-1100

Other practice location 1

12740 N Plaza Del Rio Blvd
Peoria, AZ 85381-8100
Phone (717) 972-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615002926 AZ Part A Provider - Hospital 2062773138 Practice locations: Mesa, AZ; Phoenix, AZ; Peoria, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851921571. Details of each certification follow.

Hospital certification: CCN 033042

Legal name
BHSM REHABILITATION LLC
Doing business as
BANNER REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Sep 25, 2020
Last certification
Sep 25, 2020
Beds
56
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Nov 22, 2017 in DE
Enrollment address
775 E Willetta St
Phoenix, AZ 85006-2723
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Banner Rehabilitation Hospital-WestCCN 033042 · All quality measures
Ownership
For profit
Certified
Sep 25, 2020
Medicare certification status
ActiveFrom the Provider of Services file

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
03D2183406BHSM Rehabilitation, LLC775 E Willetta St, Phoenix, AZ 85006Certificate of waiverMay 4, 2028
03D2183407BHSM Rehabilitation, LLC12740 N Plaza del Rio Blvd, Peoria, AZ 85381Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
BHSM Rehabilitation LLC46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

Member of 4

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

Locations

12740 N Plaza del Rio Blvd
Ste B
Peoria, AZ 85381
Phone (623) 815-2800

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Barlas Buyuktimkin Individual Corporate OfficerOnsite Ceo Mar 16, 2026
W-2 Managing EmployeeOnsite Ceo Mar 16, 2026
Operational/Managerial ControlOnsite Ceo Mar 16, 2026
Select Medical Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2020 100%
Operational/Managerial Control Aug 1, 2020 100%
Thomas Mullin Individual Corporate Officer Jun 1, 2025
Young R an Individual Corporate OfficerSatellite Ceo Jun 1, 2025
W-2 Managing EmployeeSatellite Ceo Jun 1, 2025
Operational/Managerial ControlSatellite Ceo Jun 2, 2025
John Saich Individual Corporate Officer Sep 5, 2025
Victoria Healthcare Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2020 100%
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 5, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2020 100%
Thomas Rufrano Individual Corporate OfficerSatellite Ceo Aug 1, 2020
W-2 Managing EmployeeSatelliteceo Aug 1, 2020
Operational/Managerial ControlSatellite Ceo Aug 1, 2020
Michael Malatesta Individual Corporate Officer Jun 1, 2025
Robert Kido Individual Corporate Officer Sep 5, 2025
John Duggan Individual Corporate Officer Aug 1, 2020
Corporate Director Sep 5, 2025
Select Physical Therapy Holdings Inc Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2020 51%
Banner Health Organization, Phoenix, AZ Corporation 5% Or Greater Direct Ownership Interest Aug 1, 2020 49%
Scott Keen Individual Corporate OfficerMain Ceo Mar 17, 2025
W-2 Managing EmployeeAd; Mar 17, 2025
Operational/Managerial ControlMain Ceo Mar 17, 2025

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Banner Health

    dba Banner Casa Grande Medical Center

    • General Acute Care Hospital
    • Casa Grande, AZ
    • NPI 1003232976

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Critical Access Hospital
    • Payson, AZ
    • NPI 1063923340

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Payson

    • Rural Health Clinic/Center
    • Payson, AZ
    • NPI 1073223012

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center - Banner Health Clinic Pine

    • Rural Health Clinic/Center
    • Pine, AZ
    • NPI 1245940287

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Payson Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Payson, AZ
    • NPI 1861077414

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Ocotillo Medical Center

    • General Acute Care Hospital
    • Chandler, AZ
    • NPI 1972139004

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Multi-Specialty Clinic/Center
    • Susanville, CA
    • NPI 1205267549

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Radiology Clinic/Center
    • Susanville, CA
    • NPI 1427740570

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health
    • Durable Medical Equipment & Medical Supplies
    • Casper, WY
    • NPI 1528846912

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Banner Health

    dba Banner Fort Collins Medical Center

    • General Acute Care Hospital
    • Fort Collins, CO
    • NPI 1659787554

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Select Specialty Hospitals Inc

    dba Select Specialty Hospital - Birmingham

    • Long Term Care Hospital
    • Birmingham, AL
    • NPI 1487652616

    5% Or Greater Indirect Ownership Interest

    CMS ownership
View all 13

Facilities with the same owner 188

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 188

Practitioners & affiliated clinicians

Practitioners 10

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 10

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": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1851921571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "ATTN MELANIE NOTARIO",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062723",
            "telephone_number": "717-972-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12740 N Plaza Del Rio Blvd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853818100",
            "country_code": "US",
            "telephone_number": "717-972-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BHSM REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "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": "VP",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.