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SELECT SPECIALTY HOSPITAL - ARIZONA INC
NPI 1629256532
Long Term Care Hospital in Phoenix, AZ

Active since February 01, 2008CLIA 03D0994099 · Waiver
1012 E WILLETTA ST, 4TH FLOOR, PHOENIX, AZ 85006(717) 972-1100 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Select Specialty Hospital - Arizona Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECT SPECIALTY HOSPITAL - ARIZONA INC (NPI 1629256532), doing business as Select Specialty Hospital - Arizona (phoenix Downtown), is a healthcare organization registered as a long term care hospital in Phoenix, Arizona and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists John Duggan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1629256532
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameSELECT SPECIALTY HOSPITAL - ARIZONA INC
Location Address1012 E WILLETTA ST, 4TH FLOORPhoenix, AZ 85006-2749
Mailing Address4714 Gettysburg Rd, Legal DepartmentMechanicsburg, PA 17055-4325 · (717) 972-1100
Phone(717) 972-1100
Organization SubpartNo
Authorized OfficialJohn DugganVice President · (717) 972-1100
Enumeration DateFebruary 1, 2008
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1629256532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
1012 E WILLETTA ST, Phoenix, AZ 85006
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Other Names 1

Doing Business AsSelect Specialty Hospital - Arizona (phoenix Downtown)

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D0994099

Select Specialty Hospital - Arizona, Inc (phoenix Downtown ) · Phoenix, AZ
Active · expires Oct 5, 2026
CLIA Number03D0994099
Laboratory TypeHospital
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorGrigory Horonenko Jr
Laboratory Phone(602) 406-6810
Laboratory LocationSelect Specialty Hospital - Arizona, Inc (phoenix Downtown )1111 E Mcdowell Rd, 11th Floor, Phoenix, AZ 85006
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TROY SCOTT WILDE D.P.M.
Podiatrist (Foot & Ankle Surgery)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6484
JOSHUA LESLIE
Physical Therapy Assistant
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
SAMANTHA BRADLEY
Clinic/Center (Physical Therapy)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6533
KARISSA MITCHELL FNP
Nurse Practitioner (Family)
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-6040
RENEE SCHULZ PT
Physical Therapist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2317
JILL CABLE MS, CCC-SLP
Speech-Language Pathologist
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 839-2141
DR. DANA ALESSE JAMISON M.D.
Orthopaedic Surgery
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-6040
YOUNG W. KAHN, M.D., L.L.C.
Physical Medicine & Rehabilitation
1012 E WILLETTA ST
PHOENIX, AZ 85006
Maricopa County (602) 239-4056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Select Specialty Hospital - Arizona Inc's NPI number?

The NPI number for Select Specialty Hospital - Arizona Inc is 1629256532. It was assigned to this organization in the NPPES registry on February 1, 2008. The provider is doing business as Select Specialty Hospital - Arizona (Phoenix Downtown).

Where is Select Specialty Hospital - Arizona Inc located?

Select Specialty Hospital - Arizona Inc is located at 1012 E Willetta St 4th Floor, Phoenix, AZ 85006. The listed phone number is (717) 972-1100.

What is Select Specialty Hospital - Arizona Inc's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Select Specialty Hospital - Arizona Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0994099) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Select Specialty Hospital - Arizona Inc was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.