NPIMap

Organization Active NPI

Penn State Hershey Rehabilitation LLC

  • Rehabilitation Hospital
  • Hummelstown, PA
National Provider Identifier
1942416946
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
PENN STATE HERSHEY REHABILITATION LLC
Practice address
1135 Old West Chocolate Ave
Hummelstown, PA 17036
Phone
(717) 972-1100
Fax
(717) 975-9981
NPI assigned
May 15, 2007
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
Vice President
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Hospital 283X00000X Primary

Addresses

Primary practice location

1135 Old West Chocolate Ave
Hummelstown, PA 17036

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070716000556 PA Part A Provider - Hospital 5991805269 Practice locations: Hummelstown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942416946. Details of each certification follow.

Hospital certification: CCN 393053

Legal name
PENN STATE HERSHEY REHABILITATION LLC
Doing business as
PENN STATE HEALTH REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Aug 10, 2007
Last certification
Jun 25, 2024
Beds
98
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
May 10, 2007 in DE
Enrollment address
1135 Olde W Chocolate Ave
Hummelstown, PA 17036-9188
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Penn State Health Rehabilitation HospitalCCN 393053 · All quality measures
Ownership
For profit
Certified
Aug 10, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Penn State Hershey Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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
Nittany Health, Inc Organization, Harrisburg, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2007 48.7%
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2007 100%
Operational/Managerial Control Jul 1, 2007 100%
Thomas Mullin Individual Corporate Officer Sep 2, 2025
Mark K Freeburn Individual Corporate OfficerCeo Aug 31, 2022
W-2 Managing EmployeeCeo Aug 31, 2022
Operational/Managerial ControlCeo Aug 31, 2022
Select Rehabilitation Hospital - Hershey Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2007 51.3%
John Saich Individual Corporate Officer Sep 2, 2025
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 2, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2007 100%
Michael Malatesta Individual Corporate Officer Apr 9, 2025
Robert Kido Individual Corporate Officer Sep 2, 2025
John Duggan Individual Corporate Officer Jul 1, 2007
Corporate Director Sep 2, 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 130

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

View all 130

Practitioners & affiliated clinicians

Practitioners 8

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 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1942416946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPARTMENT",
            "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": "1135 OLD WEST CHOCOLATE AVE",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "17036",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE HERSHEY REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hummelstown, PA

Sources for this page

Verify at the official NPI Registry.