| Organization Name: | SELECT PHYSICAL THERAPY ORTHOPEDIC SERVICES INC |
| NPI Number: | 1003875006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL TARVIN (VICE PRESIDENT) |
| Mailing Address: | 1533 Ellinwood Des Plaines |
| State: | IL US |
| Postal Code: | 60016 |
| Phone Number: | 8472960100 |
| Fax Number: | 8472960104 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 11/20/2007 |
| NPI Reactivation Date: | 01/04/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |