Healthcare Provider Details

I. General information

NPI: 1821066978
Provider Name (Legal Business Name): SELECT PHYSICAL THERAPY HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 JACKSON ARCH DR STE G
MECHANICSVILLE VA
23111-4458
US

IV. Provider business mailing address

7415 LEE DAVIS RD
MECHANICSVILLE VA
23111-4405
US

V. Phone/Fax

Practice location:
  • Phone: 804-559-2900
  • Fax: 804-559-2904
Mailing address:
  • Phone: 804-559-2904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOHN F DUGGAN
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 717-972-1100