Healthcare Provider Details

I. General information

NPI: 1689634131
Provider Name (Legal Business Name): SELECT PHYSICAL THERAPY HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date: 11/20/2007
Reactivation Date: 01/04/2008

III. Provider practice location address

60 MARIE AVE E STE 105, 2ND FLOOR
WEST ST PAUL MN
55118-5910
US

IV. Provider business mailing address

4714 GETTYSBURG RD LEGAL DPT
MECHANICSBURG PA
17055-4325
US

V. Phone/Fax

Practice location:
  • Phone: 651-451-6156
  • Fax: 651-451-0387
Mailing address:
  • Phone: 717-972-1100
  • Fax: 717-975-9781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN F DUGGAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 717-972-1100