Provider Demographics
NPI:1689797656
Name:SELECT THERAPY, INC.
Entity Type:Organization
Organization Name:SELECT THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KNOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-513-4185
Mailing Address - Street 1:552 LONGFELLOW LN
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2172
Mailing Address - Country:US
Mailing Address - Phone:215-513-4185
Mailing Address - Fax:
Practice Address - Street 1:219 CLEMENT DR
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2607
Practice Address - Country:US
Practice Address - Phone:215-513-4185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ097035Medicare ID - Type UnspecifiedNJ PROVIDER PIN
PA097103Medicare ID - Type UnspecifiedPA PROVIDER PIN