SELECT PHYSICAL THERAPY HOLDINGS INC (NPI# 1669432464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669432464 |
| Entity Type | Organization |
| Organization Name | SELECT PHYSICAL THERAPY HOLDINGS INC |
| Practice Address |
12 Stillwater Ave Bangor ME 04401 |
| Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
| Practice Telephone | 2079452946 |
| Practice Fax Number | 2079450207 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759731 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-09-01 |
| NPI Deactivation Date | 12/03/2007 |
| NPI Reactivation Date | 2008-01-11 |
| 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 |
ME | 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 |
12 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129804 | Sandra Jean Wardwell | Nurse Practitioner | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2006-03-23 |
| 1245858638 | Saker Ghanayem | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2020-07-11 |
| 1154973865 | Kristina Buck | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2019-07-12 |
| 1972047470 | Elizabeth Laura Stevens | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-19 |
| 1467996330 | Gary Boudreau | Denturist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2016-12-13 |
| 1740731470 | David C Haluska Dmd Pllc | Dentist | 12 Stillwater Ave, Suite 6, Bangor, ME 04401-3984 | 2016-10-18 |
| 1912365727 | Raylene D Jernigan | Advanced Practice Midwife | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2016-02-08 |
| 1205231651 | Paul N Smith Md, Pa | Specialist | 12 Stillwater Ave, Suite 1, Bangor, ME 04401-3984 | 2014-10-28 |
| 1932515095 | Heather Mitchell | Specialist/Technologist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2014-07-09 |
| 1679902076 | Erika Jeanne Beckwith | Physical Therapist | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225278757 | Bay View Physical Therapy Limited Partnership | Clinic/Center | 99 Farm Rd, Bangor, ME 04401-6831 | 2009-02-24 |
| 1215064720 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 34 Gilman Rd., Bangor, ME 04401 | 2007-02-28 |
| 1063493138 | Shc LLC | Clinic/Center | 335 Stillwater Ave, Bangor, ME 04401-3944 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898632 | Spine Strong Physical Therapy and Scoliosis Rehabilitation | Clinic/Center | 251 Danforth St Unit 1, Portland, ME 04102-3705 | 2020-10-13 |
| 1144844663 | Workfitme, LLC | Clinic/Center | 116 Bean St, Hollis Center, ME 04042-3527 | 2020-06-01 |
| 1861026635 | Apexnetwork Maine LLC | Clinic/Center | 291 Carl Broggi Hwy, Lebanon, ME 04027-3405 | 2020-03-02 |
| 1619530805 | Hutchins Physical Therapy, LLC | Clinic/Center | 6 Mcdonald St, Bucksport, ME 04416-1966 | 2019-04-15 |
| 1679083521 | Pt Me 1 LLC | Clinic/Center | 20 Atwood Rd, Topsham, ME 04086-5759 | 2017-10-05 |
| 1801254669 | Central Maine Clinical Associates | Clinic/Center | 287 B Auburn Rd, Turner, ME 04282 | 2016-02-08 |
| 1154733384 | Labrie-hunt Holdings, LLC | Clinic/Center | 37 Route 236 Ste 205, Kittery, ME 03904-6001 | 2014-05-22 |
| 1073941464 | Northeast Evaluation Specialists | Clinic/Center | 190 Riverside St Unit 4a, Portland, ME 04103-1073 | 2013-10-22 |
| 1720429780 | Royce Physical Therapy | Clinic/Center | 1409 Rangeley Rd, Lang Twp, ME 04970-5001 | 2013-07-08 |
| 1285073593 | Sweet Song Services | Clinic/Center | 249 Old Danville Rd, Auburn, ME 04210-8104 | 2013-06-19 |
| 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.