NPIMap

Organization Active NPI

Select Specialty Hospital - Columbus Inc

  • Long Term Care Hospital
  • Columbus, OH
National Provider Identifier
1871592386
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
1429 Issued in OH
Legal business name
SELECT SPECIALTY HOSPITAL - COLUMBUS INC
Practice address
1087 Dennison Ave
Columbus, OH 43201-3201
Phone
(614) 458-9011
Fax
(614) 291-9626
NPI assigned
Jul 18, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 1456 OH
Long Term Care Hospital 282E00000X 1429 OH Primary

Addresses

Primary practice location

1087 Dennison Ave
Columbus, OH 43201-3201

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
100000053731OtherOHBCBS OH
25181623005OtherOHMEDICAL MUTUAL OF OH
OH-2142283MedicaidOH
000000153731OtherOHBCBS OH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001414 OH Part A Provider - Hospital 5698761054 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871592386. Details of each certification follow.

Hospital certification: CCN 362022

Legal name
SELECT SPECIALTY HOSPITAL - COLUMBUS INC
Doing business as
SELECT SPECIALTY HOSPITAL- COLUMBUS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 1999
Last certification
Dec 20, 2018
Beds
186
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jul 15, 1998 in DE
Enrollment address
1087 Dennison Ave, FL 2
Columbus, OH 43201-3201
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital-Columbus, IncCCN 362022 · All quality measures
Ownership
For profit
Certified
Sep 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Beds
186

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
36D0952477Select Specialty Hospital - Columbus Inc1087 Dennison Avenue 2ND Floor, Columbus, OH 43201AccreditationNov 15, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1087 Dennison Ave
Fl 2
Columbus, OH 43201
Phone (614) 298-7531

111 S Grant Ave
Fl 5
Columbus, OH 43215
Phone (614) 566-8211

793 W State St
#5
Columbus, OH 43222
Phone (614) 234-0950

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jul 15, 1998 100%
Operational/Managerial Control Jul 15, 1998 100%
Thomas Mullin Individual Corporate Officer Aug 29, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
John Saich Individual Corporate Officer Aug 29, 2025
Lisa Pettrey Individual Corporate OfficerCeo Jul 11, 2022
W-2 Managing EmployeeCeo Jul 11, 2022
Operational/Managerial ControlCeo Jul 11, 2022
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Aug 29, 2025
Michael Malatesta Individual Corporate Officer Aug 29, 2025
Robert Kido Individual Corporate Officer Aug 29, 2025
John Duggan Individual Corporate Officer Apr 21, 2004
Corporate Director Sep 1, 2025

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 9

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 8

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": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1871592386",
    "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": "1087 DENNISON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013201",
            "telephone_number": "614-458-9011",
            "fax_number": "614-291-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - COLUMBUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "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": "OH",
            "license": "1456",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OH",
            "identifier": "100000053731",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OH",
            "identifier": "25181623005",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH-2142283",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OH",
            "identifier": "000000153731",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.