NPIMap

Organization Active NPI

Select Physical Therapy Holdings, Inc.

  • Rehabilitation Clinic/Center
  • Benton, IL
National Provider Identifier
1992352215
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SELECT PHYSICAL THERAPY HOLDINGS, INC.
Practice address
1104 W Main St
Benton, IL 62812-1565
Phone
(618) 439-3399
Fax
(618) 439-4801
NPI assigned
Aug 21, 2019
Organization subpart
Yes
Parent organization
SELECT MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John F Duggan
Title
Chief Legal Officer
Phone
(717) 972-1100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1104 W Main St
Benton, IL 62812-1565

Mailing address

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

Other names 1

  • NovaCare Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180808002894 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537076401 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Marion, IL
O20210113002099 IL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9537076401 4 other NPIs on this enrollment
Practice locations: Benton, IL; West Frankfort, IL; Carbondale, IL; Centralia, IL

Outpatient physical therapy / speech pathology certification: CCN 146593

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
NOVACARE REHABILITATION
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 18, 1991
Last certification
Jan 3, 2019
Ownership / control type
Proprietary
Facility address
1104 W Main Street
Benton, IL 62812

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Select Phyl Thpy Hold Inc169 organizations share this tax ID, including this one
Part of
Select Medical Corporation

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1992352215",
    "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": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121565",
            "telephone_number": "618-439-3399",
            "fax_number": "618-439-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY HOLDINGS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELECT MEDICAL",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NovaCare Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, IL

Sources for this page

Verify at the official NPI Registry.