SELECT PHYSICAL THERAPY HOLDINGS, INC. (NPI# 1063774586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063774586 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICAL THERAPY HOLDINGS, INC. |
| Practice Address |
412 N Broadway Ave Number 416 Shawnee OK 74801-6922 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4052731523 |
| Practice Fax Number | 4052731743 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1063027597 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3611 Mt Holly Hntrsvl Rd Bldg 200, Charlotte, NC 28216-8636 | 2020-09-11 |
| 1508478918 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 150 Wellesley Trade Ln, Cary, NC 27519 | 2020-08-18 |
| 1609499250 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4400 Grant Blvd Ste 105, Yukon, OK 73099-0038 | 2020-05-18 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1922634708 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 921 Town Center Dr Ste 700, Orange City, FL 32763-8267 | 2020-03-12 |
| 1487280269 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3320 E State Rd 436 Ste 1010, Apopka, FL 32703-6058 | 2020-03-12 |
| 1023644804 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1890 W County Road 419 Ste 1000, Oviedo, FL 32765-4402 | 2020-03-12 |
| 1417588401 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 365 S Hartmann Dr Ste 102, Lebanon, TN 37087-4788 | 2020-01-29 |
| 1245860196 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 3316 E Market St, Logansport, IN 46947-2296 | 2020-01-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Select Physical Therapy Holdings, Inc. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Iowa Business Entities | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4714 Gettsyburg Rd, Legal, Mechanicsburg, PA 17055 |
| Washington State Corporations | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325 |
| Vermont Business Registrations | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4716 Old Gettysburg Rd., Mechanicsburg, PA 17055 |
| Oklahoma Business Registrations | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4716 Old Gettysburg Rd, Mechanicsburg, PA 17055 |
| Connecticut Business Registrations | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4714 Gettysburg Road, Mechanicsburg, PA 17055 |
| Massachusetts Corporations | SELECT PHYSICAL THERAPY HOLDINGS, INC. | 4714 Gettysburg Rd., Mechanicsburg, PA 17055 |
| Street Address |
412 N BROADWAY AVE NUMBER 416 |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801-6922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316999360 | Lisa Anne Knight | Physical Therapist | 412 N Broadway Ave, Shawnee, OK 74801-6922 | 2006-05-17 |
| 1760993067 | Cassidy Renee Mccullough | Occupational Therapist | 412 N Broadway Ave, Shawnee, OK 74801-6922 | 2017-10-13 |
| 1235511544 | Rebecca Wilson | Physical Therapy Assistant | 412 N Broadway Ave, Shawnee, OK 74801-6922 | 2015-06-23 |
| 1275923294 | Mirimma Nwosu | Occupational Therapy Assistant | 412 N Broadway Ave, Shawnee, OK 74801-6922 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609267913 | Freedom Physical Therapy and Training Center Pa | Clinic/Center | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
| 1043405475 | Shawnee Physical Therapy PC | Clinic/Center | 909 N Kickapoo Ave, Shawnee, OK 74801-5729 | 2007-09-10 |
| 1326188012 | Arc Therapy Services LLC | Clinic/Center | 12802 Johnson Dr, Shawnee, KS 66216-1645 | 2007-02-08 |
| 1932135449 | Us Pt Therapy Services Inc. | Clinic/Center | 16018 W 65th St, Shawnee, KS 66217-9302 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1417555699 | Turning Point Physical Therapy, Pllc | Clinic/Center | 913 Old Frisco Rd, Norman, OK 73069-6984 | 2020-10-11 |
| 1629684972 | Thera-brand Physical Therapy LLC | Clinic/Center | 24051 County Road 80, Perry, OK 73077-9214 | 2020-09-22 |
| 1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
| 1972151280 | Sooner Health Services Pt, LLC | Clinic/Center | 2401 Tee Cir Ste 207, Norman, OK 73069-6207 | 2019-08-29 |
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.