OrganizationActive
Sports and Orthopedic Rehabilitation Services, Inc.
NPI 1639802432 · Physical Therapy Clinic/Center · Bushnell, FL
Provider details
- NPI number
- 1639802432
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Select Medical
- Organization subpart
- Yes
- Authorized official
- Michael Tarvin, Vice President(717) 920-1100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
413 N West St
Bushnell, FL 33513-6021
Phone: (352) 569-0004
Street-level locationGet directions
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Other names (DBA / former)
- Doing business as
- Select Physical Therapy
Registry dates
- Enumerated
- 2022-07-08
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.