SELECT PHYSICAL THERAPY HOLDINGS INC (NPI# 1477522217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477522217 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Practice Address |
2425 Dave Ward Dr Number 103 Conway AR 72034-8686 |
| Mailing Address |
4714 Gettysburg Rd Legal Dept Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5013271730 |
| Practice Fax Number | 5013272340 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-08-31 |
| NPI Deactivation Date | 10/29/2007 |
| NPI Reactivation Date | 2007-12-13 |
| 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 |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124321625 | Select Physical Therapy Holdings Inc | Clinic/Center | 913 Highway Business 60 West, Dexter, MO 63841-2876 | 2010-12-06 |
| 1255631420 | Select Physical Therapy Holdings Inc | Clinic/Center | 2675 Fox Pointe Dr, Suite D, Columbus, IN 47203-3390 | 2010-10-22 |
| 1275790305 | Select Physical Therapy Holdings Inc | Clinic/Center | 3265 College Sta, Brunswick, ME 04011-8423 | 2008-05-16 |
| 1477724805 | Select Physical Therapy Holdings Inc | Durable Medical Equipment & Medical Supplies | 12836 Old Glenn Hwy, Suite 101, Eagle River, AK 99577-7560 | 2008-03-13 |
| 1376713099 | Select Physical Therapy Holdings Inc | Clinic/Center | 1602b N Mechanic St, El Campo, TX 77437-2640 | 2008-03-10 |
| 1033395405 | Select Physical Therapy Holdings Inc | Clinic/Center | 301 N Lake Ave, Suite 201, Pasadena, CA 91101-4107 | 2008-01-16 |
| 1770769085 | Select Physical Therapy Holdings Inc | Clinic/Center | 37 Ashuelot St, Keene, NH 03431-3326 | 2008-01-16 |
| 1760553622 | Select Physical Therapy Holdings Inc | Clinic/Center | 29251 Us Highway 19, Clearwater, FL 33761 | 2006-11-13 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| 1821189150 | Select Physical Therapy Holdings Inc | Clinic/Center | 11617 N Central Expressway Ste 140, Dallas, TN 75243 | 2006-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Select Physical Therapy Holdings Inc. | 4714 Gettysburg Rd, Legal Department, Mechanicsburg, Pennsylvania 17055 |
| Street Address |
2425 DAVE WARD DR NUMBER 103 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884622 | Jeffrey P Kirsch | Specialist | 2425 Dave Ward Dr, Ste 101, Conway, AR 72034-8686 | 2005-10-06 |
| 1467089599 | Conway Ambulatory Surgery Center, LLC | Clinic/Center | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2020-03-26 |
| 1114461118 | Leah Marie Lamb | Pharmacist | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2016-12-09 |
| 1962862557 | Rachel Choate | Nurse Practitioner | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2016-02-25 |
| 1992180269 | Natalie Claire Brownd | Nurse Practitioner | 2425 Dave Ward Dr, Suite #401, Conway, AR 72034-8686 | 2015-07-28 |
| 1871990937 | The Pain Medicine Consultants Group | Durable Medical Equipment & Medical Supplies | 2425 Dave Ward Dr, Gordy Building Ste 102, Conway, AR 72034-8686 | 2014-12-04 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1851697197 | Jaclyn J Cooper | Nurse Practitioner | 2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686 | 2011-02-03 |
| 1902043227 | Saint-mark Enterprises 1890 LLC | Pharmacy | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2009-01-08 |
| 1558536219 | Kathleen E. Phillips | Audiologist | 2425 Dave Ward Dr, Suite 101, Conway, AR 72034-8686 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023588753 | New Wave Physical Therapy, LLC | Clinic/Center | 823 Parkway St, Conway, AR 72034-5342 | 2018-11-26 |
| 1649354663 | Mountain Center Physical Therapy & Sports Rehab Inc | Clinic/Center | 37 Main St, Conway, NH 03818-1828 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339719 | Brookfield Physical Rehabilitation, LLC | Clinic/Center | 205 Sawtooth Oak St, Hot Springs, AR 71901-7169 | 2019-11-04 |
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1417428152 | Exodus Physical Therapy | Clinic/Center | 1728 Westwood Cv, Jonesboro, AR 72401-4793 | 2018-12-06 |
| 1275018954 | Fort Smith Physical Therapy Center | Clinic/Center | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2018-09-28 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1386168581 | Pinnacle Physical Therapy | Clinic/Center | 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 | 2017-07-28 |
| 1447614540 | Heather Williams | Clinic/Center | 791 Highway 24 E, De Queen, AR 71832-8425 | 2016-04-05 |
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| 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.