Select Physical Therapy – Physical Therapy Clinic/Center, NPI 1467420604
Physical Therapy Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Select Physical Therapy
Sudley Tower, 7900, Sudley Road, Crestwood Village, Manassas, Prince William County, Virginia, 20109, United States
SUITE 803
MANASSAS, VA 201092886
Phone: (703) 366-3948
Fax: (703) 366-3699
Type: Location
4714 GETTYSBURG RD
MECHANICSBURG, PA 170554325
Phone: (717) 972-1100
Fax: (717) 975-9981
Type: Mailing
Select Medical Corporate Headquarters, 4714, Gettysburg Road, Shiremanstown, Mechanicsburg, Cumberland County, Pennsylvania, 17055, United States
LEGAL DEPARTMENT
MECHANICSBURG, PA 17055
Phone: (717) 972-1100
Fax: (717) 975-9981
Type: Mailing
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: 2004-03-31
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 |
|---|---|---|---|---|
| O20040331000614 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | VA | 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 20109)
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