SELECT PHYSICAL THERAPY HOLDINGS INC (NPI# 1629047733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629047733 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Practice Address |
3290 N Ridge Rd Ste 125 Ellicott City MD 21043 |
| Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4104651080 |
| Practice Fax Number | 4104802580 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759731 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-09-10 |
| NPI Deactivation Date | 11/07/2007 |
| 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 | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MD | 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 |
3290 N RIDGE RD STE 125 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821063595 | Richard R. Babkes | Psychiatry & Neurology | 3290 N Ridge Rd, Suite 240, Ellicott City, MD 21043-3655 | 2006-02-17 |
| 1790044089 | Joseph Manabat Laxamana | Physical Therapist | 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043-3655 | 2012-05-08 |
| 1134352552 | Neurocare Center LLC | Psychiatry & Neurology | 3290 N Ridge Rd, Suite 240, Ellicott City, MD 21043-3655 | 2009-09-02 |
| 1841439155 | Ma Cristina Natividad Boongaling | Physical Therapist | 3290 N Ridge Rd, Executive Center 2, Suite 290, Ellicott City, MD 21043-3655 | 2009-02-10 |
| 1134365356 | Edson Perez Carencia | Physical Therapist | 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043-3655 | 2008-12-17 |
| 1407091879 | Rheegie Olores Baje | Physical Therapist | 3290 N Ridge Rd, Suite 290 Executive Center II, Ellicott City, MD 21043-3655 | 2008-12-12 |
| 1902041403 | Sri Sherman Bacala Cabrera | Physical Therapist | 3290 N Ridge Rd, Suite 290 Executive Center II, Ellicott City, MD 21043-3655 | 2008-12-11 |
| 1679718167 | Lorna Cruz Bautista | Physical Therapist | 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043-3655 | 2008-12-11 |
| 1407091218 | Eunice Borlagdan Bobis | Physical Therapist | 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043-3655 | 2008-12-08 |
| 1255576088 | Mario Nino Capitulo Umali | Physical Therapist | 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043-3655 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992830392 | Mcnerney & Associates, P.a. | Clinic/Center | 5024 Dorsey Hall Dr, Suite 103, Ellicott City, MD 21042-7711 | 2007-02-23 |
| 1578576906 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3004 North Ridge Road, Ellicott City, MD 21043-3381 | 2006-08-15 |
| 1811594278 | Restore Pelvic Physical Therapy | Clinic/Center | 5130 Dorsey Hall Dr Fl 1, Ellicott City, MD 21042-7870 | 2020-10-07 |
| 1245768506 | Recharge LLC | Clinic/Center | 5136 Dorsey Hall Dr, Ellicott City, MD 21042-7921 | 2017-05-31 |
| 1164958435 | Physical Therapy At Crossroads, LLC | Clinic/Center | 4801 Dorsey Hall Dr Ste 130, Ellicott City, MD 21042-7763 | 2017-05-05 |
| 1215204110 | Revive Physical Therapy LLC | Clinic/Center | 10300 Baltimore National Pike, Unit #b, Ellicott City, MD 21042-2128 | 2011-11-20 |
| 1780981449 | Karen Foy | Clinic/Center | 10298b Baltimore National Pike, Ellicott City, MD 21042-3670 | 2011-02-16 |
| 1225281488 | Roy Film Pt, Pa | Clinic/Center | 8492 Baltimore National Pike, Suite 207, Ellicott City, MD 21043-3370 | 2008-10-31 |
| 1265629083 | Rehabcare Services LLC | Clinic/Center | 8335 Autumn River Dr, Ellicott City, MD 21043-7529 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1730794967 | Lz Pt and Wellness, LLC | Clinic/Center | 8375 Jumpers Hole Rd Ste 202, Millersville, MD 21108-1271 | 2020-09-14 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1790302925 | Hanson Physical Therapy & Sports Performance | Clinic/Center | 750 State Route 3 S Ste 5, Gambrills, MD 21054-1306 | 2020-07-03 |
| 1891312575 | Flamm Physical Therapy and Wellness, LLC | Clinic/Center | 2801 Guilford Ave, Baltimore, MD 21218-5485 | 2020-06-29 |
| 1073139036 | Woo Physical Therapy and Wellness | Clinic/Center | 8247 Hickory Hollow Dr, Glen Burnie, MD 21060-8721 | 2020-06-24 |
| 1851917892 | Mgpt, LLC | Clinic/Center | 5901 Montrose Rd Apt N402, Rockville, MD 20852-4729 | 2020-06-24 |
| 1811513278 | Manigault Enterprise, L.L.C. | Clinic/Center | 2103 Woodtop Way, Bel Air, MD 21015-6370 | 2020-06-22 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
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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.