COLUMBIA REHABILITATION LLC
NPI 1063804185
Clinic/Center - Physical Therapy in Columbia, MS

NPI Status: Active since February 26, 2015

Contact Information

70 COLUMBIA PURVIS ROAD
SUITE B
COLUMBIA, MS
ZIP 39429
Phone: (601) 444-9200
Fax: (601) 444-9090

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance
  • CLIA Number: 25D0319067
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About COLUMBIA REHABILITATION LLC

This page provides the complete NPI Profile along with additional information for Columbia Rehabilitation Llc, a provider established in Columbia, Mississippi operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1063804185 assigned on February 2015. The practitioner's primary taxonomy code is 261QP2000X with license number PT4058 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mrs. Julie Freeman Dpt (Owner)

NPI
1063804185
Provider Name
COLUMBIA REHABILITATION LLC
Entity Type
Organization
Location Address
70 COLUMBIA PURVIS ROAD SUITE B COLUMBIA, MS 39429
Location Phone
(601) 444-9200
Location Fax
(601) 444-9090
Mailing Address
PO BOX 646 COLUMBIA, MS 39429
Mailing Phone
(601) 444-9200
Mailing Fax
(601) 444-9090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2015
Last Update Date
09-08-2016
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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

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
License No.
PT4058
License State
MS
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. JULIE FREEMAN DPT

Authorized Official Title
OWNER
Authorized Official Phone
(601) 441-7182

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
25D0319067
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JUSTIN WESTERVELT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Columbia Rehabilitation Llc 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.
1063804185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231608116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 8 + 1 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1063804185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366538688 JULIE M FREEMAN PT
Individual
Physical Therapist70 COLUMBIA PURVIS ROAD SUITE B
COLUMBIA, MS 39429
(601) 444-9200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063804185, enumerated in the NPI registry as an "organization" on February 26, 2015

The provider is located at 70 Columbia Purvis Road Suite B Columbia, Ms 39429 and the phone number is (601) 444-9200

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 25D0319067 for a "end stage renal disease dialysis facility" 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 February 26, 2015. 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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