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NPI Code Detail

MEDICARE: SELECT PHYSICAL THERAPY HOLDINGS, INC.

MEDICARE: SELECT PHYSICAL THERAPY HOLDINGS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1437898228
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT PHYSICAL THERAPY HOLDINGS, INC.
Provider Business Mailing Address
First Line : 4714 GETTYSBURG RD
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17055-4325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 814 S PERRY ST STE D
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1942
Country : US
Telephone Number : 303-814-2865
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-972-1100
Provider Enumeration Date : 06/01/2022
Last Update Date : 07/06/2022

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