OrganizationActive
Select Physical Therapy of Illinois Limited Partnership
NPI 1104885136 · Physical Therapy Clinic/Center · Crystal Lake, IL
Provider details
- NPI number
- 1104885136
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Tarvin, Vice President(717) 972-1100
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 E Terra Cotta Ave
Ste 102
Crystal Lake, IL 60014
Phone: (815) 455-3262
Fax: (815) 455-2729
Approximate (ZIP-level) locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2010-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.