NPIMap

Organization Active NPI

Select Specialty Hospital - Phoenix Inc

  • Long Term Care Hospital
  • Phoenix, AZ
National Provider Identifier
1891795415
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
SH190 Issued in AZ
Legal business name
SELECT SPECIALTY HOSPITAL - PHOENIX INC
Practice address
350 W Thomas Rd
3Rd FLR
Phoenix, AZ 85013-4409
Phone
(602) 406-6802
Fax
(602) 406-6891
NPI assigned
Jul 26, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X SH190 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
3Rd FLR
Phoenix, AZ 85013-4409

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
AZ0205610OtherAZBCBS AZ
459835MedicaidAZ
IZ0120OtherAZHEALTHNET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109001020 AZ Part A Provider - Hospital 9537187364 Practice locations: Phoenix, AZ

Hospital certification: CCN 032001

Legal name
SELECT SPECIALTY HOSPITAL - PHOENIX INC
Doing business as
SELECT SPECIALTY HOSPITAL - PHOENIX
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jun 8, 1993
Last certification
Nov 4, 2017
Beds
48
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 31, 1998 (1 total)
Organization structure
CorporationProprietary
Incorporated
Jun 23, 1998 in DE
Enrollment address
350 W Thomas Rd
3Rd FL
Phoenix, AZ 85013-4409
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital PhoenixCCN 032001
Ownership
For profit
Certified
Jun 8, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Beds
48

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
03D0871771Select Specialty Hospital Phoenix Inc350 W Thomas Road 3Rd FL, Phoenix, AZ 85013Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

350 W Thomas Rd
Ste 3
Phoenix, AZ 85013

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Hospital Holdings Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jun 23, 1998 100%
Select Synergos Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jun 23, 1998 100%
Select Medical Corporation Organization, Mechanicsburg, PA Corporation 5% Or Greater Indirect Ownership Interest Dec 10, 1996 100%
Operational/Managerial Control Dec 10, 1996 100%
Thomas Mullin Individual Corporate Officer Jul 15, 2025
John Saich Individual Corporate Officer Sep 3, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 3, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jun 23, 1998 100%
Michael Malatesta Individual Corporate Officer Jul 15, 2025
Jessika Workman Individual Corporate OfficerCeo Jul 21, 2025
W-2 Managing EmployeeAd; Jul 21, 2025
Operational/Managerial ControlCeo Jul 21, 2025
Robert Kido Individual Corporate Officer Sep 3, 2025
John Duggan Individual Corporate Officer Nov 9, 2005
Corporate Director Sep 3, 2025

Owners & managing parties with NPI records 1

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

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 11

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1891795415",
    "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": "350 W THOMAS RD",
            "address_2": "3RD FLR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-6802",
            "fax_number": "602-406-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - PHOENIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "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": "AZ",
            "license": "SH190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AZ",
            "identifier": "AZ0205610",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459835",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IZ0120",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.