DANIEL PAREDES OZUNA DPT
NPI 1033944301
Physical Therapist - Orthopedic in Flagstaff, AZ
NPI Status: Active since September 05, 2024
Contact Information
399 S MALPAIS LN STE 103
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 235-5506
- Individual
- Male
- Years of Experience 2
- Physical Therapist
- Orthopedic
- Accepts Insurance
- Accepts Medicare Approved Payment
About DANIEL PAREDES OZUNA
This page provides the complete NPI Profile along with additional information for Daniel Paredes Ozuna, a provider established in Flagstaff, Arizona with a medical specialization in Physical Therapist, focusing in orthopedic and more than 2 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2024. The healthcare provider is registered in the NPI registry with number 1033944301 assigned on September 2024. The practitioner's primary taxonomy code is 2251X0800X with license number LPT-033788 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1033944301
- Provider Name
- DANIEL PAREDES OZUNA DPT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 399 S MALPAIS LN STE 103 FLAGSTAFF, AZ 86001
- Location Phone
- (928) 235-5506
- Mailing Address
- 399 S MALPAIS LN STE 103 FLAGSTAFF, AZ 86001
- Medical School Name
- UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
- Graduation Year
- 2024
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-05-2024
- Last Update Date
- 09-05-2024
- Code Navigator
Location Map
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 Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- LPT-033788
- License State
- AZ
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Daniel Paredes Ozuna is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8123569985
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240919002463
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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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. | |||||||||
| 1 | 0 | 3 | 3 | 9 | 4 | 4 | 3 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 18 | 4 | 8 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 8 + 4 + 8 + 3 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1033944301 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841614690 | DR. JESSICA R MARSHALL PT,DPT Individual | Physical Therapist | 399 S MALPAIS LN STE 103 FLAGSTAFF, AZ 86001 (928) 235-5506 |
| 1558941724 | THIN AIR PHYSICAL THERAPY, PLLC. Organization | Physical Therapist | 399 S MALPAIS LN STE 103 FLAGSTAFF, AZ 86001 (623) 203-8157 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033944301, enumerated in the NPI registry as an "individual" on September 05, 2024
The provider is located at 399 S Malpais Ln Ste 103 Flagstaff, Az 86001 and the phone number is (928) 235-5506
The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider has more than 2 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 2024.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 05, 2024. 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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