Select Physical Therapy – Physical Therapy Clinic/Center, NPI 1104895754
Physical Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Select Physical Therapy
25577 Conifer Rd Unit 125
Conifer, CO 804339068
Phone: (303) 838-7444
Type: Location
30940 Stagecoach Blvd # 110
Evergreen, CO 804397984
Phone: (303) 674-1594
Type: Location
Select Medical Corporate Headquarters, 4714, Gettysburg Road, Shiremanstown, Mechanicsburg, Cumberland County, Pennsylvania, 17055, United States
MECHANICSBURG, PA 170554325
Phone: (717) 972-1100
Fax: (717) 975-9781
Type: Mailing
255, Union Boulevard, Lakewood, Jefferson County, Colorado, 80228, United States
STE 110
LAKEWOOD, CO 80228
Phone: (303) 232-0355
Fax: (303) 232-0411
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040217000661 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80433)
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