SELECT PHYSICAL THERAPY (NPI# 1720323512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720323512 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICAL THERAPY |
| Practice Address |
3317 Us Highway 98 S Ste 6 Lakeland FL 33803-8316 |
| Practice Telephone | 8636673092 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | RANDY WIEMER (VICE PRESIDENT) |
| Authorized Official Telephone | 7277717377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 27400 | FL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699552 | Select Physical Therapy | Clinic/Center | 1328 Vine St, Jacksonville, FL 32207-8743 | 2016-10-12 |
| 1376681130 | Select Physical Therapy | Clinic/Center | 5603 Skimmer Dr, Apollo Beach, FL 33572-3353 | 2007-02-02 |
| 1568015451 | Select Physical Therapy | Physical Therapist | 3222 Geary Blvd, San Francisco, CA 94118-3319 | 2019-07-19 |
| 1437605169 | Select Physical Therapy | Clinic/Center | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211 | 2016-09-01 |
| 1346795499 | Select Physical Therapy | Clinic/Center | 7292 4th St N, Suite A, St Petersburg, FL 33702-5813 | 2016-08-18 |
| 1194278424 | Select Physical Therapy | Clinic/Center | 554 Twin Cities Blvd Ste A, Niceville, FL 32578-1058 | 2016-08-03 |
| 1629443205 | Select Physical Therapy | Health Maintenance Organization | 8455 Fannin St Ste B, Houston, TX 77054-4805 | 2015-12-08 |
| 1386037828 | Select Physical Therapy | Clinic/Center | 301 W 10th St, Apt101, Charlotte, NC 28202-1739 | 2015-03-09 |
| 1891183018 | Select Physical Therapy | Clinic/Center | 255 N Main St, Bristol, CT 06010-4972 | 2014-12-23 |
| 1538573654 | Select Physical Therapy | Specialist | 1400 S Orlando Ave, Suite 207, Winter Park, FL 32789-5543 | 2014-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELECT PHYSICAL THERAPY | 938b W Shawnee St, Muskogee, OK 74401-3511 |
| Oregon Corporations, Companies and Business Names | SELECT PHYSICAL THERAPY | 4714 Gettysburg Rd, Mechanicsburg, PA 17055 |
| Virginia Business Entities | Select Physical Therapy Holdings Inc. | 4714 Gettysburg Rd, Legal Department, Mechanicsburg, Pennsylvania 17055 |
| 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 |
3317 US HIGHWAY 98 S STE 6 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-8316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588900443 | Jenae Jackson | Physical Therapist | 3317 Us Highway 98 S Ste 6, Lakeland, FL 33803-8316 | 2012-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1962867838 | Amanda Bennett | Specialist | 705 Central Parke Cir Apt 208, Lakeland, FL 33805-9590 | 2015-12-21 |
| 1730512252 | Tampa Obstetrics, P.a. | Specialist | 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | 2013-08-20 |
| 1871865980 | William Riley Kendrick Jr. | Specialist | 3358 Bentbrooke Cv, Lakeland, TN 38002-5746 | 2012-02-04 |
| 1255654554 | Hai Yang | Specialist | 6838 Huntington Hills Blvd, Lakeland, FL 33810-5378 | 2010-03-01 |
| 1366688954 | Jeanne Martha Raschke | Specialist | 315 Faye Cir N, Lakeland, FL 33813-1512 | 2009-01-02 |
| 1245486869 | King Fernand | Specialist | 2240 Us Highway 92 E, Lakeland, FL 33801-2448 | 2008-08-14 |
| 1043480502 | American Care of Tampa Inc. | Specialist | 2600 Industrial Park Dr, Suite C, Lakeland, FL 33801-7135 | 2008-03-11 |
| 1962556878 | North Lakeland Pain & Trauma Inc | Specialist | 5516 Us 98 North, Lakeland, FL 33809 | 2007-01-22 |
| 1568536126 | Timothy E Knight | Specialist | 6500 N Socrum Loop Rd, Suite 100, Lakeland, FL 33809-4308 | 2006-11-17 |
| Find all providers in LAKELAND | ||||
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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.