PRIMECARE PHYSICAL THERAPY AND REHAB, INC
NPI 1033137880
Physical Therapist in Taylor, MI

NPI Status: Active since July 18, 2006

Contact Information

21505 VAN BORN
TAYLOR, MI
ZIP 48180
Phone: (313) 359-1963
Fax: (313) 359-1966

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  • Organization
  • Physical Therapist
  • CLIA Number: 23D2286180
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-24-2025

About PRIMECARE PHYSICAL THERAPY AND REHAB, INC

This page provides the complete NPI Profile along with additional information for Primecare Physical Therapy And Rehab, Inc, a provider established in Taylor, Michigan operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1033137880 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Kevin Michael Miller (Administrator)

NPI
1033137880
Provider Name
PRIMECARE PHYSICAL THERAPY AND REHAB, INC
Entity Type
Organization
Location Address
21505 VAN BORN TAYLOR, MI 48180
Location Phone
(313) 359-1963
Location Fax
(313) 359-1966
Mailing Address
21505 VAN BORN TAYLOR, MI 48180
Mailing Phone
(313) 359-1963
Mailing Fax
(313) 359-1966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KEVIN MICHAEL MILLER

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(313) 359-1963

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2286180
Facility Type
Physician Office
Certificate Effective Date
July 25, 2023
Certificate Expiration Date
July 24, 2025
Laboratory Director
HUSSEIN H. AJROUCHE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Primecare Physical Therapy And Rehab, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033137880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20632314816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 3 + 1 + 4 + 8 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033137880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033137880, enumerated in the NPI registry as an "organization" on July 18, 2006

The provider is located at 21505 Van Born Taylor, Mi 48180 and the phone number is (313) 359-1963

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

The provider's CLIA number is 23D2286180 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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