PROVISIONS PEDIATRIC THERAPY, LLC
NPI 1104013721
Clinic/Center - Physical Therapy in Sanford, NC

NPI Status: Active since September 27, 2007

Contact Information

1456 CAROLINA DR
SANFORD, NC
ZIP 27332
Phone: (919) 353-4499

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About PROVISIONS PEDIATRIC THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Provisions Pediatric Therapy, Llc, a provider established in Sanford, North Carolina operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1104013721 assigned on September 2007. The practitioner's primary taxonomy code is 261QP2000X with license number 2908 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mrs. Rachel Patterson Brown B.s., Pt (Physical Therapist)

NPI
1104013721
Provider Name
PROVISIONS PEDIATRIC THERAPY, LLC
Entity Type
Organization
Location Address
1456 CAROLINA DR SANFORD, NC 27332
Location Phone
(919) 353-4499
Mailing Address
PO BOX 639 SANFORD, NC 27331
Mailing Phone
(919) 353-4499
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2007
Last Update Date
09-27-2007
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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.
2908
License State
NC
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:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Bronze Standard | Limited Statewide Doctors - POS
  • Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Gold Standard | Limited Statewide Doctors - POS
  • Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors - POS
  • Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Silver Standard | Limited Statewide Doctors - POS

*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. RACHEL PATTERSON BROWN B.S., PT

Authorized Official Title
PHYSICAL THERAPIST
Authorized Official Phone
(919) 353-4499

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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.
1104013721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210401674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 1 + 6 + 7 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1104013721 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528074598 RACHEL BROWN B.S., PT
Individual
Physical Therapist1456 CAROLINA DR
SANFORD, NC 27332
(919) 353-4499

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104013721, enumerated in the NPI registry as an "organization" on September 27, 2007

The provider is located at 1456 Carolina Dr Sanford, Nc 27332 and the phone number is (919) 353-4499

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. 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 27, 2007. 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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